Individual
EMALYSE AYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3904 N MONROE AVE, PEORIA HEIGHTS, IL 61616-7636
(815) 830-0390
Mailing address
3904 N MONROE AVE, PEORIA HEIGHTS, IL 61616-7636
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057005659
IL
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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