Individual
MATTHEW T LAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
313 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25303-1263
(304) 744-2300
(304) 744-8195
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(304) 744-2300
(304) 744-8195
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1699
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810027092
—
WV
Enumeration date
02/19/2014
Last updated
05/06/2014
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