Individual
JENNIFER AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 FORTUNE DR, CORPUS CHRISTI, TX 78405-3919
(361) 289-0889
Mailing address
PO BOX 8549, CORPUS CHRISTI, TX 78468-8549
(361) 232-3149
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209552
TX
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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