Individual
MR. AVERY DAULTON PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
4450 SUNSET DR, SAN ANGELO, TX 76901-5611
(325) 747-1511
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 747-1511
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
124627
TX
Other
Enumeration date
09/25/2024
Last updated
10/09/2024
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