Individual
THERESA LAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
9300 GREEN PARK RD, SAINT LOUIS, MO 63123-7211
(314) 845-0984
Mailing address
909 ITHACA CIR, SAINT CHARLES, MO 63303-1131
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2013017873
MO
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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