Individual
SHAWN T AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4208 PARRY DR, PEARLAND, TX 77584-1477
(281) 974-9417
Mailing address
4208 PARRY DR, PEARLAND, TX 77584-1477
(281) 974-9417
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212059
TX
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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