Linda Larssen Avery, PT
Physical Therapist in Oakland, CA. Individual provider (NPI-1).
NPI number1174530653
StatusActive
Last updated in NPPESMar 12, 2018
Details
- NPI
- 1174530653
- Entity type
- Individual (NPI-1)
- Name
- Linda Larssen Avery
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2006
- Last updated
- Mar 12, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT113 | CA | Yes |
Practice location
3300 Webster StSuite 402
Oakland, CA 94609-3117
Phone 510-451-6020 · Fax 510-451-6043
Mailing address
3017 Telegraph AveSte 330
Berkeley, CA 94705-2049
Phone 510-451-6020 · Fax 510-451-6043
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