Individual
MS. MARILYN FAYE LEGRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7536 MILYNN WAY, PENSACOLA, FL 32526-3268
(270) 977-0578
Mailing address
7536 MILYNN WAY, PENSACOLA, FL 32526-3268
(270) 977-0578
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
14719
FL
Other
Enumeration date
07/20/2016
Last updated
10/06/2016
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