Individual
MRS. BRENDA DENISE AYALA GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1581 18TH AVE, KINGSBURG, CA 93631-2204
(559) 897-5270
(559) 837-0920
Mailing address
3279 W RIALTO AVE, FRESNO, CA 93722-4138
(559) 999-3123
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 10292
CA
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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