Organization
LEGACY THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE SUE BOGGESS MS, CTRS, OTR/L (OWNER/OCCUPATIONAL THERAPIST)
(304) 634-1845
Entity
Organization
Contact information
Practice address
2216 NEWMANS BRANCH ROAD, MILTON, WV 25541-0102
(304) 743-5267
(304) 743-5267
Mailing address
PO BOX 102, 2216 NEWMANS BRANCH ROAD, MILTON, WV 25541-0102
(304) 743-5267
(304) 743-5267
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
1239
WV
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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