Individual
BROOKE LEGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
117 HARMONY XING STE 4, EATONTON, GA 31024-9548
(706) 454-1811
(706) 454-1812
Mailing address
117 HARMONY XING STE 4, EATONTON, GA 31024-9548
(706) 454-1811
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004042
GA
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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