Legacy Therapeutic Services, Inc.

NPI #1942910724 in Apple Valley, California

Provider Information

NPI Number
1942910724
Entity Type
Organization
Organization Name
Legacy Therapeutic Services, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
THE CHILDREN'S CLINIC
Primary Specialty
Occupational Therapist
Enumeration Date
Dec 1, 2022
Last Updated
Dec 1, 2022

Practice Location

Address
18270 SISKIYOU RD STE B
ZIP Code
92307-1413
Phone
(760) 991-3020

Authorized Official

Name
MR. MATTHEW EDWARD OSBOURN, OTR/L
Title
OCCUPATIONAL THERAPIST
Phone
(423) 762-8846

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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