Legacy Healthcare Services INC.
Physical Therapist in Washington, MO. Organization (NPI-2).
NPI number1407487366
StatusActive
Last updated in NPPESJan 30, 2020
Details
- NPI
- 1407487366
- Entity type
- Organization (NPI-2)
- Legal business name
- Legacy Healthcare Services INC.
- Organization subpart
- No
- Enumeration date
- Jan 30, 2020
- Certification date
- Jan 30, 2020
- Last updated
- Jan 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
| 225X00000X | Occupational Therapist | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Practice location
1481 Marbach DrWashington, MO 63090-4636
Phone 855-239-3467
Mailing address
3001 Spring Forest RdRaleigh, NC 27616-2815
Phone 919-424-5080
Authorized official
William G Wilson
Cfo
9194245080
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