Kathy Avery, OT

Individual provider Active NPI Occupational Therapist · Clinton, NJ

NPI 1679748545 · NPPES record last updated Apr 23, 2008

Key facts

NPI
1679748545
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
46TR00107500 (NJ)
Practice address
3 Evergreen Dr
Clinton, NJ 08809-1140
Phone
(800) 950-6066
NPI assigned
Apr 23, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
46TR00107500NJMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00107500 NJ Yes

Addresses

Primary practice location

3 Evergreen Dr
Clinton, NJ 08809-1140

Mailing address

3 Evergreen Dr
Clinton, NJ 08809-1140
Phone (800) 950-6066

Other providers in Clinton, NJ

All providers in Clinton, NJ · Occupational Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.