Legacy Outpatient Therapy Services

NPI #1053815654 in Artesia, California

Provider Information

NPI Number
1053815654
Entity Type
Organization
Organization Name
Legacy Outpatient Therapy Services
Primary Specialty
Physical Therapist
Enumeration Date
Mar 20, 2018
Last Updated
Jan 10, 2019

Practice Location

Address
11618 SOUTH ST UNIT 201
ZIP Code
90701
Phone
(562) 467-0777

Authorized Official

Name
JILL RAIZA DELA CRUZ, BSN, RN, MSN, FNP-C
Title
CEO
Phone
(562) 467-0777

Specialties & Taxonomy Codes

Specialty
Occupational Therapist
Physical Therapist

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