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Individual

BRIANNA N LEGGETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA /L

Contact information

Practice address
516 GREAT BRIDGE BLVD, CHESAPEAKE, VA 23320-7034
(757) 447-0511
Mailing address
1581 PENROSE ARCH, VIRGINIA BEACH, VA 23453-1551
(757) 748-6387

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001644
VA

Other

Enumeration date
04/29/2019
Last updated
04/29/2019
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