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Joel Thomas Ayala, OTR

Occupational Therapist in Traverse City, MI. Individual provider (NPI-1).

NPI number1770765752
StatusActive
Last updated in NPPESNov 30, 2007

Details

NPI
1770765752
Entity type
Individual (NPI-1)
Name
Joel Thomas Ayala
Credential
OTR
Sex
Male
Sole proprietor
No
Enumeration date
Nov 30, 2007
Last updated
Nov 30, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist5201003330MIYes

Practice location

1650 Barlow Street
Suite 11
Traverse City, MI 49684

Phone 231-941-3100 · Fax 231-922-0382

Mailing address

1650 Barlow Street
Suite 11
Traverse City, MI 49684

Phone 231-941-3100 · Fax 231-922-0382

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