| NPI | 1679998900 |
|---|---|
| Doing Business As | LEGACY HEALTHCARE AT FORT WAYNE |
| Entity Type | Organization |
| Authorized Contact | WILLIAM GIL WILSON Chief Financial Officer 919-424-5080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2021-03-05 |