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Organization
LEGENDARY THERAPY
Active
Organization
LEGENDARY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE SALOMON MA, OTR/L (CLINICAL SUPERVISOR)
(917) 853-1226
Entity
Organization
Contact information
Practice address
997 STAFFORD AVE, STATEN ISLAND, NY 10309-2109
(917) 853-1226
(718) 679-9823
Mailing address
997 STAFFORD AVE, STATEN ISLAND, NY 10309-2109
(917) 853-1226
(718) 679-9823
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NULL
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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