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Contact Information

MARY C AVERETTE, PTA
1600 WESTBROOK AVE
RICHMOND, VA23227
 Phone: 804-264-6089
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for MARY C AVERETTE · (Female)

NPI Number 1811203839
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 08/27/2010
Last updated 08/27/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 2306001335
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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