Charity Lynn Avera
Individual provider Active NPI Physical Therapy Assistant · Crawfordville, FL
NPI 1801301593 · NPPES record last updated Dec 4, 2017
Key facts
- NPI
- 1801301593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 18983 (FL)
- Practice address
- 327 Emmett Whaley Rd
Crawfordville, FL 32327-4075 - Phone
- (850) 768-0544
- Fax
- (850) 768-0544
- NPI assigned
- Dec 4, 2017
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 18983 | FL | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 18983 | FL | Yes |
Addresses
Primary practice location
327 Emmett Whaley Rd
Crawfordville, FL 32327-4075
Mailing address
327 Emmett Whaley Rd
Crawfordville, FL 32327-4075
Phone (850) 768-0544
Other providers in Crawfordville, FL
- Amazing Hearts Services LLC
- Sagar Amin
- Ashley Anderson
- Apalachee Center Inc
- Arms of Care LLC
- B and T'S Topnotch Transport, Inc.
- Chelsie Nickol Bailey
- Mary Jane Bailey
- Andrea Nicole Barnett
- Kara Barrentine
All providers in Crawfordville, FL · Physical Therapy Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.