Individual
KIESHA DELORES LAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
503 PARKWOOD COURT, PANAMA CITY, FL 32405
(850) 319-3239
Mailing address
503 PARKWOOD CT, PANAMA CITY, FL 32405-4446
(850) 319-3239
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119005842
VA
Other
Enumeration date
05/17/2013
Last updated
05/17/2013
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