Dr. Azahy Ayala-Clark, PT, DPT.
Physical Therapist in Bakersfield, CA. Individual provider (NPI-1).
NPI number1396297230
StatusActive
Last updated in NPPESDec 5, 2022
Details
- NPI
- 1396297230
- Entity type
- Individual (NPI-1)
- Name
- Dr. Azahy Ayala-Clark
- Credential
- PT, DPT.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2016
- Certification date
- Dec 5, 2022
- Last updated
- Dec 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 11333 | LA | Yes |
| 208100000X | Physical Medicine & Rehabilitation | 11333 | LA | |
| 2251P0200X | Physical Therapist, Pediatrics | 2123023 | TX |
Practice location
3850 Riverlakes DrBakersfield, CA 93312-6662
Phone 661-529-2303
Mailing address
3850 Riverlakes DrBakersfield, CA 93312-6662
Phone 661-529-2303
Other practice locations
6550 Springfield Ave Ste 101
Laredo, TX 78041-6712
Laredo, TX 78041-6712
Phone 956-725-4555 · Fax 956-725-3555
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