Individual
JENNIFER GOOCH AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
65 OLD COLONY WAY, ORLEANS MARKETPLACE, ORLEANS, MA 02653-3213
(508) 240-7203
(508) 240-1761
Mailing address
26 DOANE RD, HARWICH PORT, MA 02646-1529
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10753
MA
Other
Enumeration date
08/30/2010
Last updated
10/06/2014
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