NPI | 1598053084 |
---|---|
Former Name | AMY MARIE LAYTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60219220) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: WA PT60219220) |
Enumeration Date | 2011-07-18 |
Last Update Date | 2012-11-19 |