Matthew Legasse, CO

NPI #1770899460 in Stockton, California

Provider Information

NPI Number: 1770899460
Entity Type: Individual
Name: Matthew Legasse, CO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthotist
Credential: CO
Enumeration Date: Aug 19, 2010
Last Updated: Aug 19, 2010

Practice Location

Address: 1236 N EL DORADO ST STE ABC
City: Stockton
State: California
ZIP Code: 95202-1324
Phone: (209) 944-5517

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X	Primary

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