Avery, Jessica

Avery, Jessica is an sole proprietor health care provider with primary practice located at 1695 Via Amigos , San Lorenzo CA 94580-2009. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Avery, Jessica can be contacted via phone (510) 909-9266.

Contact Information

Primary practice address
1695 Via Amigos San Lorenzo CA 94580-2009
Phone: (510) 909-9266
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT32353 California

Profile Details

NPI number 1255654547
LBN Legal business name Avery, Jessica
Credentials DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2010
Last updated Nov 2nd, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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