NPI | 1225010283 |
---|---|
Former Legal Business Name | LINDA L AVERY & ASSOCIATES PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | LINDA LARSSEN AVERY Practice Owner 510-451-6020 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT113) |
Enumeration Date | 2005-11-16 |
Last Update Date | 2011-08-24 |