Provider Demographics
NPI:1053019786
Name:GALVIN, ANNA LAYNE (OTR)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:LAYNE
Last Name:GALVIN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:LAYNE
Other - Last Name:WOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:1025 INVERNESS COVE WAY
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35242-4216
Mailing Address - Country:US
Mailing Address - Phone:256-872-0288
Mailing Address - Fax:205-957-0298
Practice Address - Street 1:4778 OVERTON RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35210-3803
Practice Address - Country:US
Practice Address - Phone:205-957-0294
Practice Address - Fax:205-957-0298
Is Sole Proprietor?:No
Enumeration Date:2023-02-22
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6079225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL6079OtherOTR LICENSE