Legacy Healthcare Services
NPI #1043580129 in Charlotte, North Carolina
Provider Information
- NPI Number
- 1043580129
- Entity Type
- Organization
- Organization Name
- Legacy Healthcare Services
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- Jan 6, 2012
- Last Updated
- Jan 6, 2012
Practice Location
- Address
- 5114 PROVIDENCE RD
- City
- Charlotte
- State
- North Carolina
- ZIP Code
- 28226-5852
- Phone
- (704) 365-5252
Authorized Official
- Name
- JACQUELINE TRILL, MS,OTR/L
- Title
- OCCUPATIONAL THERAPIST
- Phone
- (716) 807-5074
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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