Avery, Mary Blake

Avery, Mary Blake is an individual health care provider with primary practice located at 301 Clearfield Ave , Chesapeake VA 23320-4017. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Avery, Mary Blake can be contacted via phone (757) 810-4458.

Contact Information

Primary practice address
301 Clearfield Ave Chesapeake VA 23320-4017
Phone: (757) 810-4458
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 0119010263 Virginia

Profile Details

NPI number 1326806589
LBN Legal business name Avery, Mary Blake
Credentials OTD, OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2024
Last updated Mar 14th, 2024 - about 2 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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