Individual
KATHY AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3 EVERGREEN DR, CLINTON, NJ 08809-1140
(800) 950-6066
Mailing address
3 EVERGREEN DR, CLINTON, NJ 08809-1140
(800) 950-6066
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00107500
NJ
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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