Individual
NICOLE L AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,PT
Contact information
Practice address
1050 37TH ST, EVANS, CO 80620-2115
(970) 590-2893
Mailing address
220 N 53RD AVE, GREELEY, CO 80634-4261
(970) 590-2893
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
6666
CO
Other
Enumeration date
06/08/2018
Last updated
09/15/2023
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