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MRS. MELISSA ELIZABETH AVERY MSOT, OTR/L

>> Occupational Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1447556725

Individual Registrant:
MRS. MELISSA ELIZABETH AVERY MSOT, OTR/L
Gender: F
Not Sole Proprietor

Location and contact information for practice:
265 COLONEL LEDYARD HWY  MYSTIC, CT 06355-1138 US
Tel: 860-536-0383  Fax: --

Contact information for business:
265 COLONEL LEDYARD HWY  MYSTIC, CT 06355-1138 US
Tel: 860-536-0383  Fax: --

Registration Information:
NPI: 1447556725
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
CT001164
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
CT4088

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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