Individual
TAMRA J AVERILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
105 N 13TH ST, DECATUR, IN 46733-1409
(260) 724-2400
(260) 724-2402
Mailing address
105 N 13TH ST, DECATUR, IN 46733-1409
(260) 724-2400
(260) 724-2402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05004995A
IN
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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