Individual
STANLEY TROYD LEGRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
36 S CHARLES ST STE 203, BALTIMORE, MD 21201-3121
(410) 878-1014
(404) 393-5069
Mailing address
1400 HERRINGTON RD APT 19303, LAWRENCEVILLE, GA 30044-1817
(267) 549-2966
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004199
GA
Other
Enumeration date
02/28/2018
Last updated
03/11/2021
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