Legacy Healthcare Services INC
NPI #1457829814 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1457829814
- Entity Type
- Organization
- Organization Name
- Legacy Healthcare Services INC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Nov 5, 2018
- Last Updated
- Jun 8, 2022
Practice Location
- Address
- 1111 UNIVERSITY DR
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025-5589
- Phone
- (855) 239-3467
Authorized Official
- Name
- WILLIAM G WILSON JR.
- Title
- CFO
- Phone
- (919) 424-5080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
| Speech-Language Pathologist |
| Physical Therapist |
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