Organization
LEGACY HEALTHCARE SERVICES MASSACHUSETTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM GIL WILSON JR. (CFO)
(919) 424-5080
Entity
Organization
Contact information
Practice address
129 E MAIN ST, WESTBOROUGH, MA 01581-1578
(855) 239-3467
Mailing address
110 HORIZON DR STE 310, RALEIGH, NC 27615-4926
(910) 424-5080
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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