| NPI | 1255750030 |
|---|---|
| Doing Business As | LEGACY HEALTHCARE @ GRAND OAKS |
| Entity Type | Organization |
| Authorized Contact | WILLIAM G WILSON CFO 919-424-5080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2023-06-27 |