Individual
MARIA MICHELLE AVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6215 FERRIS SQ, SAN DIEGO, CA 92121-3283
(800) 683-1209
Mailing address
419 GRANDVIEW BLVD, MUSKOGEE, OK 74403-8614
(918) 360-4756
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2058
OK
Other
Enumeration date
08/12/2026
Last updated
08/12/2026
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