Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics |
NPI | 1164983888 |
---|---|
Provider Name | Kelsey Layman |
First Address | Epsom, NH 03234-4223 |
Second Address | North Andover, MA 01845-1680 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2019 |
Last Update Date | 26/01/2021 |