Provider Demographics
NPI:1952444150
Name:AYERS, DAVID GLEN (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:GLEN
Last Name:AYERS
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:277 W ADRIAN WAY
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-7151
Mailing Address - Country:US
Mailing Address - Phone:559-582-4117
Mailing Address - Fax:
Practice Address - Street 1:1310 HANNA AVE
Practice Address - Street 2:CORCORAN DISTRICT HOSPITAL
Practice Address - City:CORCORAN
Practice Address - State:CA
Practice Address - Zip Code:93212
Practice Address - Country:US
Practice Address - Phone:559-992-4965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist