Lauren Renee Legrand PTA

NPI 1780018408 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1780018408
Gender Female
Enumeration Date 08/29/2013
Last Updated 08/29/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
300 FLOYD DR
SIKESTON MO, 63801-3960, US
Phone (573) 472-0397
Fax (573) 472-0409
Business Location
1501 LYNDEL CT APT B
DEXTER MO, 63841-8297, US
Phone
Fax
Toxanomy
Taxonomy Code 225200000X
License State Missouri
License Number 2013001396
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According to our database, Lauren Renee Legrand PTA NPI is 1780018408, taxonomy code is 225200000X and license number is 2013001396, license state is located at Missouri. Lauren Renee Legrand PTA physically located at 300 Floyd Dr, Sikeston MO, 63801-3960. NPI Number Lauren Renee Legrand PTA has the Individual type.

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1780018408 NPI number is provided on an as is basis without warranty of any kind. 1780018408 is maintained by the National Plan & Provider Enumeration System. The contents of Lauren Renee Legrand PTA are for informational purposes only.