Individual
KATHLEEN E LEGRANDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
409 GREENE ST, WEBSTER, TX 77598-6701
(281) 332-4738
Mailing address
33533 W 12 MILE RD STE 290, FARMINGTON HILLS, MI 48331-5635
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2123410
TX
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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