Organization
LEGACY HEALTH CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CONNIE SCOTT JUSTICE P.T.A. (PHYSICAL THERAPIST ASSISTANT)
(314) 971-8626
Entity
Organization
Contact information
Practice address
45 E LOCKWOOD AVE, WEBSTER GROVES, MO 63119-3050
(314) 200-2664
Mailing address
5809 ITASKA ST, SAINT LOUIS, MO 63109-3117
(314) 971-8626
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2006006973
MO
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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