Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Charles Edgar Averill Jr., OTRL

Individual provider Occupational Therapist · NPI 1477624161

Mr. Charles Edgar Averill Jr., OTRL is an Occupational Therapist in Macon, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2006
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Practice location Address checks out

704A S Missouri
Macon, MO 63552
Phone: (660) 385-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 2006013588 (MO)

Record details

NPI number1477624161
Entity typeIndividual (Type 1)
GenderMale
Credentials OTRL
Sole proprietorYes
NPI enumeratedNovember 13, 2006
Last updated in NPPESJuly 8, 2007

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