Individual
MRS. JENNIFER LYNN AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1069 KLOTZ RD, BOWLING GREEN, OH 43402-4828
(419) 353-3759
(419) 728-7030
Mailing address
4361 DEFIANCE PIKE, WAYNE, OH 43466-9701
(419) 575-6935
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10680
OH
225100000X
Physical Therapist
Primary
5501012475
MI
Other
Enumeration date
07/31/2006
Last updated
06/06/2013
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