Individual
TERESA AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1372 OLD POST RD, ULSTER PARK, NY 12487-5357
(845) 255-1400
Mailing address
194 WESTERN AVE, MARLBORO, NY 12542-5145
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011193-01
NY
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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