Individual
AVERY L JOHARCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
7921 PROFESSIONAL CIR, HUNTINGTON BEACH, CA 92648-1901
(714) 847-8751
(714) 847-8751
Mailing address
7921 PROFESSIONAL CIR, HUNTINGTON BEACH, CA 92648-1901
(714) 847-8751
(714) 847-8751
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
293906
CA
225X00000X
Occupational Therapist
OT16381
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
357983
THE NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY, INC.
CA
01
—
OT16381
CA BOARD OF OCCUPATIONAL THERAPY
CA
Enumeration date
08/30/2017
Last updated
07/21/2022
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