Provider Demographics
NPI:1972196418
Name:LAY, UNA M (PT)
Entity Type:Individual
Prefix:
First Name:UNA
Middle Name:M
Last Name:LAY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:UNA
Other - Middle Name:M
Other - Last Name:PHELAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:9111 DOLD DR
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-1672
Mailing Address - Country:US
Mailing Address - Phone:567-208-2146
Mailing Address - Fax:
Practice Address - Street 1:410 W ELM ST
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:OH
Practice Address - Zip Code:45817-1122
Practice Address - Country:US
Practice Address - Phone:419-358-1015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-16
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4967225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist