Individual
KELLI LAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
803 OAK ST, GREEN COVE SPRINGS, FL 32043-4317
(904) 284-5606
Mailing address
394 TWIN LAKES DR, SAINT AUGUSTINE, FL 32084-8368
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 25335
FL
225200000X
Physical Therapy Assistant
PTA003319
GA
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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