MEDICARE: ALAINA MARIE LAY DPT

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	225100000X	Physical Therapist	010946	GA

General Provider Information

NPI Number	:	1861623399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAINA MARIE LAY DPT

Provider Business Mailing Address
First Line	:	1553 JANMAR RD
Second Line	:	SUITE B
City	:	SNELLVILLE
State	:	GA
Zip	:	30078-5606
Country	:	US
Telephone Number	:	973-726-7400
Fax Number	:	973-726-7440

Provider Business Practice Location Address
First Line	:	1553 JANMAR RD
Second Line	:	SUITE B
City	:	SNELLVILLE
State	:	GA
Zip	:	30078-5606
Country	:	US
Telephone Number	:	678-987-0250
Fax Number	:	678-987-0217

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

Provider Enumeration Date	:	07/31/2009
Last Update Date	:	05/10/2013

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