Individual
DR. AVERELL S OVERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT DN PH
Contact information
Practice address
W 290 GROVER CENTER, OHIO UNIVERSITY, ATHENS, OH 45701-2979
(740) 593-2624
(740) 593-0293
Mailing address
W 290 GROVER CENTER, OHIO UNIVERSITY THERAPY ASSOCIATES, ATHENS, OH 45701-2979
(740) 593-0820
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT001377
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000163115
ANTHEM
—
05
—
062447
—
OH
Enumeration date
04/04/2007
Last updated
07/09/2007
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