Individual
EMILY AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1605 S EUCALYPTUS AVE STE 200, BROKEN ARROW, OK 74012-5996
(918) 608-1212
(918) 289-2606
Mailing address
1605 S EUCALYPTUS AVE STE 200, BROKEN ARROW, OK 74012-5996
(918) 608-1212
(918) 289-2606
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
5703
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1886
LICSENSE
OK
01
—
5706
LICSENSE
OK
Enumeration date
01/15/2021
Last updated
11/08/2022
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