Individual
FAITH AVEVOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15547 NW 123RD ST, PLATTE CITY, MO 64079-9210
(347) 652-3075
Mailing address
15547 NW 123RD ST, PLATTE CITY, MO 64079-9210
(347) 652-3075
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2015027055
MO
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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