Individual
SUSAN MICHELLE LEGGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
197 SOUTH WILLARD, COTTONWOOD, AZ 85331
(928) 634-5548
(971) 206-5203
Mailing address
4560 SE INTERNATIONAL WAY, STE. 100, MILWAUKIE, OR 97222
(971) 206-5200
(971) 206-5203
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0128A
AZ
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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