Ma Geraldine Alingasa Ayos, PT

Individual provider Active NPI Physical Therapist · Lebanon, IN

NPI 1265698161 · NPPES record last updated Jul 31, 2008

Key facts

NPI
1265698161
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
05003048A (IN)
Practice address
1001 N Grant St
Lebanon, IN 46052-1944
Phone
(765) 482-6400
NPI assigned
Jul 31, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
05003048AINMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05003048A IN Yes

Addresses

Primary practice location

1001 N Grant St
Lebanon, IN 46052-1944

Mailing address

6740 Berkshire Dr
Zionsville, IN 46077-9158
Phone (317) 873-4180

Other providers in Lebanon, IN

All providers in Lebanon, IN · Physical Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.