Individual
MS. ANDREA MICHELLE LEGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, M.ED., ATC
Contact information
Practice address
4107 W GENESEE ST STE 300, SYRACUSE, NY 13219-1952
(315) 635-5000
(315) 492-1203
Mailing address
606 ELLINGTON CT, CAMILLUS, NY 13031-2058
(315) 787-4570
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
035863
NY
2255A2300X
Athletic Trainer
020102321
NY
Other
Enumeration date
02/19/2007
Last updated
05/14/2021
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