Individual
SHAWN LEGRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3450 WIMBLEDON DR, PENSACOLA, FL 32504-4506
(850) 434-3232
Mailing address
7535 MILYNN WAY, PENSACOLA, FL 32526
(270) 543-8656
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 14718
FL
Other
Enumeration date
07/25/2016
Last updated
10/13/2016
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