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Organization
PRIME LEGACY REHABILITATION SERVICES, PLLC
Active
Organization
PRIME LEGACY REHABILITATION SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA R SMITH (OWNER/SPEECH LANGUAGE PATHOLOGIST)
(252) 229-5148
Entity
Organization
Contact information
Practice address
813 YORKSHIRE DR, CLAYTON, NC 27520-2956
(252) 229-5148
Mailing address
813 YORKSHIRE DR, CLAYTON, NC 27520-2956
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/24/2017
Last updated
06/24/2017
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