Provider Demographics
NPI:1265698161
Name:AYOS, MA GERALDINE ALINGASA (PT)
Entity type:Individual
Prefix:
First Name:MA GERALDINE
Middle Name:ALINGASA
Last Name:AYOS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6740 BERKSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:ZIONSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46077-9158
Mailing Address - Country:US
Mailing Address - Phone:317-873-4180
Mailing Address - Fax:
Practice Address - Street 1:1001 N GRANT ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:IN
Practice Address - Zip Code:46052-1944
Practice Address - Country:US
Practice Address - Phone:765-482-6400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-31
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05003048A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist