Individual
MR. ARNULFO AYALDE ROYECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
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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