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Organization
LEGACY HEALTH CARE SERVICES
Active
Organization
LEGACY HEALTH CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CONNIE SCOTT JUSTICE P.T.A. (PHYSICAL THERAPIST ASSISTANT)
(314) 971-8626
Entity
Organization
Contact information
Practice address
45 E LOCKWOOD AVE, WEBSTER GROVES, MO 63119-3050
(314) 200-2664
Mailing address
5809 ITASKA ST, SAINT LOUIS, MO 63109-3117
(314) 971-8626
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2006006973
MO
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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