Individual
DR. AZAHY AYALA-CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
11333
LA
225100000X
Physical Therapist
Primary
11333
LA
2251P0200X
Pediatric Physical Therapist
2123023
TX
Other
Enumeration date
10/26/2016
Last updated
12/05/2022
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