Provider Demographics
NPI:1942659255
Name:CAYUELA, ALI (DPT)
Entity Type:Individual
Prefix:
First Name:ALI
Middle Name:
Last Name:CAYUELA
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 1:1391 DUBLIN RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-1084
Mailing Address - Country:US
Mailing Address - Phone:614-487-9715
Mailing Address - Fax:614-487-9716
Practice Address - Street 1:1391 DUBLIN RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-1084
Practice Address - Country:US
Practice Address - Phone:614-487-9715
Practice Address - Fax:614-487-9716
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-07
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT016335261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy