Kyle Legrow, PTA

NPI #1326679713 in Lake Mary, Florida

Provider Information

NPI Number: 1326679713
Entity Type: Individual
Name: Kyle Legrow, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Feb 4, 2020
Last Updated: Feb 4, 2020

Practice Location

Address: 30 SKYLINE DR
City: Lake Mary
State: Florida
ZIP Code: 32746-6201
Phone: (407) 792-0031

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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