Individual
DIANA CAROLINA AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 MATLOCK RD BLDG 1, MANSFIELD, TX 76063-4391
(682) 628-0277
Mailing address
2004 PERRY DR, MANSFIELD, TX 76063-5148
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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