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1609010891
ERIC MICHAEL AYALA
MILWAUKEE, WI
NPI
1609010891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WI 4750-026)
Enumeration Date
2009-05-01
Last Update Date
2009-05-01
Business Address
-- ERIC MICHAEL AYALA OTR/L
316 N MILWAUKEE ST SUITE 208
MILWAUKEE, WI 53202-5885
Phone number: 888-389-9031
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Mailing Address
-- ERIC MICHAEL AYALA OTR/L
1761 NORMAN WAY
MADISON, WI 53705-1221
Phone number: 608-630-1759
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