Individual
ELIZABETH LEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1112 GALLIA ST, PORTSMOUTH, OH 45662-4161
(740) 354-3995
Mailing address
416 STEWART HOLLOW RD, PORTSMOUTH, OH 45662-8972
(740) 961-0201
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT.008559
OH
225XP0200X
Pediatric Occupational Therapist
Primary
OT.008559
OH
Other
Enumeration date
02/13/2014
Last updated
03/17/2018
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