Individual
MRS. PATRICE ELLA AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
19889 NORTH 59TH AVE, GLENDALE, AZ 85308-6813
(623) 537-6000
(623) 537-6014
Mailing address
19889 NORTH 59TH AVE, GLENDALE, AZ 85308-6813
(623) 537-6000
(623) 537-6014
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6849PT
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07251975198889
—
AZ
Enumeration date
02/04/2019
Last updated
02/04/2019
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