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Individual

ALICE AVERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT, COTA

Contact information

Practice address
6965 CALIFORNIA AVE SW, SEATTLE, WA 98136-1953
(425) 677-0276
Mailing address
1527 12TH AVE S APT 308, SEATTLE, WA 98144-7413
(503) 901-3799

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60996364
WA
225700000X
Massage Therapist
MA60107872
WA

Other

Enumeration date
03/03/2010
Last updated
11/26/2019
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