Individual
ANGELA NICOLE LEGENDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1200 E TREMONT ST, HILLSBORO, IL 62049-1912
(217) 532-4160
Mailing address
1200 E TREMONT ST, HILLSBORO, IL 62049-1912
(217) 532-4160
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056006821
IL
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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