Legacy Healthcare Services INC

NPI #1962079533 in Englewood, Florida

Provider Information

NPI Number: 1962079533
Entity Type: Organization
Organization Name: Legacy Healthcare Services INC
Primary Specialty: Physical Therapist
Enumeration Date: Jun 10, 2021
Last Updated: Aug 6, 2021

Practice Location

Address: 7374 SAN CASA DR
City: Englewood
State: Florida
ZIP Code: 34224-8842
Phone: (855) 239-3467

Authorized Official

Name: MR. WILLIAM GIL 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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