Legacy Healthcare Services INC

NPI #1740820828 in Roanoke, Virginia

Provider Information

NPI Number: 1740820828
Entity Type: Organization
Organization Name: Legacy Healthcare Services INC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 7, 2020
Last Updated: Jan 7, 2020

Practice Location

Address: 3365 OGDEN RD
City: Roanoke
State: Virginia
ZIP Code: 24018-1151
Phone: (540) 682-7506

Authorized Official

Name: WILLIAM G WILSON JR.
Title: CHIEF FINANCIAL OFFICER
Phone: (919) 424-5080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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