Individual
MR. ARNULFO AYALDE ROYECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
53940 CARMICHAEL DR, SOUTH BEND, IN 46635-1564
(574) 335-6212
(574) 335-0701
Mailing address
707 CEDAR ST STE 200, SOUTH BEND, IN 46617-2057
(574) 335-8707
(574) 335-0741
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05004272A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001432340
BCBS
IN
05
—
300043242
—
IN
Enumeration date
03/26/2010
Last updated
03/11/2021
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