Individual
MRS. MELISSA ELIZABETH AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
265 COLONEL LEDYARD HWY, MYSTIC, CT 06355-1138
(860) 536-0383
Mailing address
265 COLONEL LEDYARD HWY, MYSTIC, CT 06355-1138
(860) 536-0383
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
001164
CT
225X00000X
Occupational Therapist
Primary
4088
CT
Other
Enumeration date
02/02/2011
Last updated
10/08/2013
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