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Individual

AIENA LAYA ANGELES BAUTISTA GRIFFITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
14216123-2401
UT
225100000X
Physical Therapist
Primary
19703
MA
225100000X
Physical Therapist
Primary
P20142
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P20142
STATE LICENSE
NC
Enumeration date
05/25/2016
Last updated
05/07/2026
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