Individual
LAUREN ASHLEY AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3131 WESTERN AVE, KINGMAN, AZ 86401-0951
(928) 718-0718
Mailing address
PO BOX 876, YUCCA, AZ 86438-0876
(928) 486-7369
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA13169
AZ
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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