Individual
KAREN B AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/CHT
Contact information
Practice address
2519 S LAKELINE BLVD, SUITE 100, TILLMAN PHYSICAL THERAPY & SPORTS TRAINING CENTER, INC, CEDAR PARK, TX 78613-2964
(512) 331-6200
(512) 331-4312
Mailing address
2519 S LAKELINE BLVD, SUITE 100, TILLMAN PHYSICAL THERAPY & SPORTS TRAINING CENTER, INC, CEDAR PARK, TX 78613-2964
(512) 331-6200
(512) 331-4312
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
113187
TX
225XH1200X
Hand Occupational Therapist
1011100582
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011100582
CERTIFIED HAND THERAPIST
TX
01
—
113187
TEXAS LICENSE-OTR
TX
01
—
OT 1397
OCCUPATIONAL THERAPY LICENSE
CA
Enumeration date
10/23/2009
Last updated
10/23/2009
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