MR. Charles Edgar Averill JR., O.T.R. L.

NPI #1477624161 in Macon, Missouri

Provider Information

NPI Number
1477624161
Entity Type
Individual
Name
MR. Charles Edgar Averill JR., O.T.R. L.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist
Credential
O.T.R. L.
Enumeration Date
Nov 13, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
704A SOUTH MISSOURI
City
Macon
ZIP Code
63552
Phone
(660) 385-2500

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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