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NPI Code Detail

MEDICARE: ANNELIES LAYTON OTR/L

MEDICARE:   ANNELIES  LAYTON  OTR/L
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
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1184352288
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNELIES LAYTON OTR/L
Provider Business Mailing Address
First Line : 204 DONNA AVE
Second Line :
City : MORGANTOWN
State : WV
Zip : 26505-3904
Country : US
Telephone Number : 412-867-9628
Fax Number :
Provider Business Practice Location Address
First Line : 1159 BAYBERRY DR
Second Line :
City : CANONSBURG
State : PA
Zip : 15317-4992
Country : US
Telephone Number : 724-705-4311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2022
Last Update Date : 08/08/2022

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Directions to “ ANNELIES LAYTON OTR/L” Practice Location

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