Individual
MISS TRICIA LIN LEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3400 ANDERSON RD STE C, GREENVILLE, SC 29611-7651
(864) 295-9890
(864) 295-9894
Mailing address
3400 ANDERSON RD STE C, GREENVILLE, SC 29611-7651
(864) 295-9890
(864) 295-9894
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3185
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3515
—
SC
Enumeration date
11/11/2013
Last updated
11/11/2013
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