Individual
EMILEE LEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10502 N 110TH EAST AVE, OWASSO, OK 74055-6655
(918) 376-8200
Mailing address
1120 S UTICA AVE, TULSA, OK 74104-4012
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2602
OK
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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