Individual
MARJORIE AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
86 W SALT MINE RD, CAMP VERDE, AZ 86322-7013
(928) 567-5253
Mailing address
3291 E MONTEZUMA AVE, RIMROCK, AZ 86335-5495
(928) 863-4508
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6915A
AZ
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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