Provider Demographics
NPI:1861475550
Name:LAYMON, MICHAEL STEPHEN (PT, OCS, CCD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:STEPHEN
Last Name:LAYMON
Suffix:
Gender:M
Credentials:PT, OCS, CCD
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Mailing Address - Street 1:3835 SAN ANTONIO RD
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886-6979
Mailing Address - Country:US
Mailing Address - Phone:714-693-9553
Mailing Address - Fax:714-693-9559
Practice Address - Street 1:701 E FOOTHILL BLVD
Practice Address - Street 2:MARY HILL 104
Practice Address - City:AZUSA
Practice Address - State:CA
Practice Address - Zip Code:91702-2606
Practice Address - Country:US
Practice Address - Phone:626-815-5021
Practice Address - Fax:626-815-5017
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPT 132142251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic