Individual
TYLER BRYAN AVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1373 N AVENUE C, ELGIN, TX 78621-1528
(512) 285-2475
Mailing address
12007 CAPTAIN BAILYS CT, AUSTIN, TX 78753-6901
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212902
TX
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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