Mary C Averette, pta
Physical Therapy Assistant in Richmond, VA. Individual provider (NPI-1).
NPI number1811203839
StatusActive
Last updated in NPPESAug 27, 2010
Details
- NPI
- 1811203839
- Entity type
- Individual (NPI-1)
- Name
- Ms. Mary C Averette
- Credential
- pta
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 27, 2010
- Last updated
- Aug 27, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 2306001335 | VA | Yes |
Practice location
1600 Westbrook AveRichmond, VA 23227
Phone 804-264-6089
Mailing address
624-204 Bristol Village Dr.Midlothian, VA 23114
Phone 804-349-8331
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