Individual provider · Type 1 NPI

Jessica Avery, DPT

Pediatric Physical Therapist · San Lorenzo, CA

NPI number 1255654547 Active

Practice location

1695 Via Amigos
San Lorenzo, CA 94580-2009

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200XPT32353 (CA)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1255654547

Jessica Avery, DPT's National Provider Identifier is 1255654547, issued on Mar 1, 2010. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in San Lorenzo, CA. The record was last updated on Nov 2, 2010.