Provider Demographics
NPI:1235858168
Name:ARAYATA, JINKY T (DPT)
Entity Type:Individual
Prefix:
First Name:JINKY
Middle Name:T
Last Name:ARAYATA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8305 98TH ST APT 3P
Mailing Address - Street 2:
Mailing Address - City:WOODHAVEN
Mailing Address - State:NY
Mailing Address - Zip Code:11421-1694
Mailing Address - Country:US
Mailing Address - Phone:732-500-1358
Mailing Address - Fax:
Practice Address - Street 1:8305 98TH ST APT 3P
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:NY
Practice Address - Zip Code:11421-1694
Practice Address - Country:US
Practice Address - Phone:732-500-1358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-24
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty