Individual
MS. LAYA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2769 AXE FACTORY RD, PHILADELPHIA, PA 19152-2114
(267) 255-7987
Mailing address
2769 AXE FACTORY RD, PHILADELPHIA, PA 19152-2114
(267) 255-9874
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/22/2014
Last updated
05/22/2014
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