Individual
MISS AYONNA PROCTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
68 WILLOW RD, MENLO PARK, CA 94025-3653
(866) 839-6979
Mailing address
1250 WATERS PLACE, SUITE 501, BRONX, NY 10461
(718) 409-9444
(718) 409-0236
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
292715
CA
225100000X
Physical Therapist
62-035520
NY
Other
Enumeration date
09/05/2012
Last updated
11/07/2019
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