Individual
BROOKLYN C LEGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3166 CLARKSVILLE ST, PARIS, TX 75460-8015
(903) 784-7702
(903) 784-7703
Mailing address
3166 CLARKSVILLE ST, PARIS, TX 75460-8015
(903) 784-7702
(903) 784-7703
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213894
TX
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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