Individual
ERIC MICHAEL AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
316 N MILWAUKEE ST, SUITE 208, MILWAUKEE, WI 53202-5885
(888) 389-9031
Mailing address
1761 NORMAN WAY, MADISON, WI 53705-1221
(608) 630-1759
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4750-026
WI
Other
Enumeration date
05/01/2009
Last updated
05/01/2009
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