| NPI | 1265764500 |
|---|---|
| Doing Business As | LEGACY OUTPATIENT REHAB CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARY ANN HUDSON Speech Language Pathologist 334-468-3032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 3982) |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2014-06-19 |