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-- STACEY AYALA -- PTA

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1548567381
Provider Type
Individual Provider (NPI-1)
Credentials
PTA
Status
Active

Contact & Location

Address
1930 HIGHLAND AVE STE A, AUGUSTA, GA, 309047803
Phone
(706) 481-9105
Fax
(706) 481-9107

Specialties & Taxonomies

Physical Therapy Assistant Primary License: GA #PTA002614

All Addresses

MAILING

1930 HIGHLAND AVE STE A

AUGUSTA, GA, 309047803

(706) 481-9105

LOCATION

1930 HIGHLAND AVE STE A

AUGUSTA, GA, 309047803

(706) 481-9105