Individual
CAROL LEGALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1406 DORADO DR APT B, KISSIMMEE, FL 34741-2484
(407) 518-9841
Mailing address
1406 DORADO DR APT B, KISSIMMEE, FL 34741-2484
(407) 518-9841
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
#OC-002694-L
PA
225X00000X
Occupational Therapist
5021
NC
225X00000X
Occupational Therapist
Primary
OT10793
FL
Other
Enumeration date
02/01/2013
Last updated
02/01/2013
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