Doctor Name: | MS. ANETTE M AVANT |
NPI Number: | 1174797815 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 167328 |
Business Practice Address: | 4107 Hohe St Homer, AK - 996037008 |
Business Phone Number: | 9072350687 |
Business Fax Number: | 9072354017 |
Mailing Address: | 4107 Hohe St, HOMER |
State: | AK |
Postal Code: | 996037008 |
Phone Number: | 9072350687 |
Fax Number: | 9072354017 |
NPI Enumeration Date: | 04/14/2008 |
NPI Last Update Date: | 04/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 167328 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |