Doctor Name: | MRS. JENNIFER LYNN AVERY |
NPI Number: | 1487660536 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 10680 |
Business Practice Address: | 1069 Klotz Rd Bowling Green, OH - 434024828 |
Business Phone Number: | 4193533759 |
Business Fax Number: | 4197287030 |
Mailing Address: | 4361 Defiance Pike, WAYNE |
State: | OH |
Postal Code: | 434669701 |
Phone Number: | 4195756935 |
Fax Number: | |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 06/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 10680 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |