Provider Demographics
NPI:1184352288
Name:LAYTON, ANNELIES (OTR/L)
Entity type:Individual
Prefix:
First Name:ANNELIES
Middle Name:
Last Name:LAYTON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 DONNA AVE
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-3904
Mailing Address - Country:US
Mailing Address - Phone:412-867-9628
Mailing Address - Fax:
Practice Address - Street 1:1159 BAYBERRY DR
Practice Address - Street 2:
Practice Address - City:CANONSBURG
Practice Address - State:PA
Practice Address - Zip Code:15317-4992
Practice Address - Country:US
Practice Address - Phone:724-705-4311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist