Marjorie Ayala, PTA
Physical Therapy Assistant in Camp Verde, AZ. Individual provider (NPI-1).
NPI number1164077210
StatusActive
Last updated in NPPESAug 6, 2019
Details
- NPI
- 1164077210
- Entity type
- Individual (NPI-1)
- Name
- Marjorie Ayala
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 6, 2019
- Last updated
- Aug 6, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 6915A | AZ | Yes |
Practice location
86 W Salt Mine RdCamp Verde, AZ 86322-7013
Phone 928-567-5253
Mailing address
3291 E Montezuma AveRimrock, AZ 86335-5495
Phone 928-863-4508
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