Legacy Healthcare Services INC

NPI #1912505488 in Hampton, Virginia

Provider Information

NPI Number: 1912505488
Entity Type: Organization
Organization Name: Legacy Healthcare Services INC
Primary Specialty: Physical Therapist
Enumeration Date: Oct 15, 2020
Last Updated: Dec 9, 2020

Practice Location

Address: 2220 EXECUTIVE DR
City: Hampton
State: Virginia
ZIP Code: 23666-6607
Phone: (757) 224-7237

Authorized Official

Name: WILLIAM G WILSON JR.
Title: CFO
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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