Individual
MARIA LEGGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1185 W CARMEL DR BLDG C, CARMEL, IN 46032-8708
(317) 582-8924
Mailing address
1185 W CARMEL DR BLDG C, CARMEL, IN 46032-8708
(317) 582-8924
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05011592A
IN
225100000X
Physical Therapist
2014027086
MO
2251X0800X
Orthopedic Physical Therapist
Primary
05011592A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201261240
—
IN
Enumeration date
08/05/2014
Last updated
11/11/2016
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