Individual
MARY AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-4545
(206) 326-4555
Mailing address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-4545
(206) 326-4555
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00001504
WA
225XP0019X
Physical Rehabilitation Occupational Therapist
OT00001504
WA
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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