Individual
AUDREY LANE MCAVOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4560 PRINCESS ANNE RD, VIRGINIA BEACH, VA 23462-7905
(757) 495-4211
Mailing address
5604 VIRGINIA BEACH BLVD STE 101, VIRGINIA BEACH, VA 23462-5631
(757) 455-5000
(757) 319-4142
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119008608
VA
Other
Enumeration date
08/08/2017
Last updated
11/10/2020
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