Individual
TONI LEGGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 MILLS ST, BROOKHAVEN, MS 39601-2521
(601) 823-5567
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2042
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0928738Z
—
MS
Enumeration date
04/27/2010
Last updated
04/27/2010
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