Organization
LEGACY HEALTHCARE
Active
Organization
LEGACY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA DILLINGHAM (ON BOARDING COORDINATOR)
(919) 861-2441
Entity
Organization
Contact information
Practice address
240 BRANCHVIEW DR NE, CONCORD, NC 28025-3498
(704) 343-8735
Mailing address
573 SHAMROCK RD, NEW LONDON, NC 28127-8682
(704) 985-3137
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7352
NC
Other
Enumeration date
08/20/2016
Last updated
08/20/2016
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