Provider Demographics
NPI:1174839062
Name:TORRENCE, AYANA KARA (MPT)
Entity Type:Individual
Prefix:MISS
First Name:AYANA
Middle Name:KARA
Last Name:TORRENCE
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 CLOVELLY ST APT 1303
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-6939
Mailing Address - Country:US
Mailing Address - Phone:443-870-3087
Mailing Address - Fax:
Practice Address - Street 1:4511 ROBOSSON RD
Practice Address - Street 2:
Practice Address - City:RANDALLSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21133-1018
Practice Address - Country:US
Practice Address - Phone:410-922-1910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-30
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD225292251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics