Individual
DR. MARY BLAKE AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
301 CLEARFIELD AVE, CHESAPEAKE, VA 23320-4017
(757) 810-4458
Mailing address
103 SONNY LN, KITTY HAWK, NC 27949-9219
(757) 810-4458
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119010263
VA
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
03/11/2024
Last updated
03/14/2024
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