Individual
MR. MICHAEL RAY AVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1000 WESTVIEW DR, ALBANY, GA 31705-9302
(850) 420-4718
Mailing address
1000 WESTVIEW DR, ALBANY, GA 31705-9302
(850) 420-4718
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 20497
FL
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
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