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NPI Code Detail

MEDICARE: SHAWN LAYMAN

MEDICARE: SHAWN LAYMAN
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 Therapist31003729AIN

General Provider Information

NPI Number : 1932354511
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAWN LAYMAN
Provider Business Mailing Address
First Line : 4625 E STOP 11 RD
Second Line : SUITE B
City : INDIANAPOLIS
State : IN
Zip : 46237-9101
Country : US
Telephone Number : 317-884-3383
Fax Number :
Provider Business Practice Location Address
First Line : 4625 E STOP 11 RD
Second Line : SUITE B
City : INDIANAPOLIS
State : IN
Zip : 46237-9101
Country : US
Telephone Number : 317-884-3383
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2008
Last Update Date : 11/24/2008

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Directions to “ SHAWN LAYMAN ” Practice Location

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