Prime Legacy Rehabilitation Services, Pllc
NPI #1811417421 in Clayton, North Carolina
Provider Information
- NPI Number
- 1811417421
- Entity Type
- Organization
- Organization Name
- Prime Legacy Rehabilitation Services, Pllc
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jun 24, 2017
- Last Updated
- Jun 24, 2017
Practice Location
- Address
- 813 YORKSHIRE DR
- City
- Clayton
- State
- North Carolina
- ZIP Code
- 27520-2956
- Phone
- (252) 229-5148
Authorized Official
- Name
- TANYA R SMITH
- Title
- OWNER/SPEECH LANGUAGE PATHOLOGIST
- Phone
- (252) 229-5148
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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