| NPI | 1396773412 |
|---|---|
| Former Name | LAYLA M MCCALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: GA 827) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC PT11537) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NC ATC1262) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2015-03-27 |