# LEGACY HEALTH CARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427435163
- **Authorized official:** MISS CONNIE SCOTT JUSTICE P.T.A. (PHYSICAL THERAPIST ASSISTANT)
- **Authorized official phone:** (314) 971-8626

## Contact information

- **Practice address:** 45 E LOCKWOOD AVE, WEBSTER GROVES, MO 63119-3050
- **Practice address phone:** (314) 200-2664
- **Mailing address:** 5809 ITASKA ST, SAINT LOUIS, MO 63109-3117
- **Mailing address phone:** (314) 971-8626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 2006006973 | MO | Yes |

## Other

- **Enumeration date:** 05/01/2015
- **Last updated:** 05/01/2015