Organization
LEGACY HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA PRUITT DPT (RD)
(704) 435-0108
Entity
Organization
Contact information
Practice address
111 HARRILSON RD, CHERRYVILLE, NC 28021-9541
(704) 435-0108
(704) 435-4982
Mailing address
3290 HARMON RD, LINCOLNTON, NC 28092-1776
(704) 913-2943
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
861
NC
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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