MEDICARE: FRANCENE R AYALA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1295693364
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCENE R AYALA

Provider Business Mailing Address
First Line	:	1905 GILRIX ST
Second Line	:
City	:	PETALUMA
State	:	CA
Zip	:	94954-3824
Country	:	US
Telephone Number	:	707-765-8488
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 PETALUMA BLVD S
Second Line	:
City	:	PETALUMA
State	:	CA
Zip	:	94952-5545
Country	:	US
Telephone Number	:	707-765-8488
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	01/15/2026

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