Individual
CHYNA AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5100 RANDOL MILL RD, FORT WORTH, TX 76112-1553
(817) 451-8001
(352) 382-1146
Mailing address
8477 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5028
(800) 804-9961
(352) 382-1146
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216590
TX
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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