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NPI Code Detail

MEDICARE: MARGARET THERESA LAYDEN PT

MEDICARE: MARGARET THERESA LAYDEN PT
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
1225100000XPhysical Therapist4521NC
2225100000XPhysical Therapist5723SC

General Provider Information

NPI Number : 1720053440
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET THERESA LAYDEN PT
Provider Business Mailing Address
First Line : 790 REMINGTON BLVD
Second Line :
City : BOLINGBROOK
State : IL
Zip : 60440-4909
Country : US
Telephone Number : 630-296-2223
Fax Number :
Provider Business Practice Location Address
First Line : 333 S PINE ST
Second Line :
City : SPARTANBURG
State : SC
Zip : 29302-2622
Country : US
Telephone Number : 864-515-7580
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2006
Last Update Date : 11/09/2015

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Directions to “ MARGARET THERESA LAYDEN PT” Practice Location

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