Provider Demographics
NPI:1326406653
Name:ALUYA, AYERE (PT)
Entity Type:Individual
Prefix:
First Name:AYERE
Middle Name:
Last Name:ALUYA
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5068 NOTTINGHAM PLACE LN
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-4692
Mailing Address - Country:US
Mailing Address - Phone:301-633-8183
Mailing Address - Fax:
Practice Address - Street 1:5068 NOTTINGHAM PLACE LN
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-4692
Practice Address - Country:US
Practice Address - Phone:301-633-8183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-01
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16083225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist