Organization
LEGACY THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE SUE BOGGESS MS, CTRS, OTR/L (OWNER)
(304) 743-5267
Entity
Organization
Contact information
Practice address
2216 NEWMANS BRANCH ROAD, RURAL ROUTE 3 BOX 397, MILTON, WV 25541
(304) 634-1845
(304) 743-5267
Mailing address
2216 NEWMANS BRANCH ROAD, RURAL ROUTE 3 BOX 297, MILTON, WV 25541
(304) 743-5267
(304) 743-5267
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2261-3593
WV
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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