LEGACY THERAPY SOURCE

STOCKBRIDGE, GA
NPI1871105577
Entity TypeOrganization
Authorized ContactCATHERINE GOMEZ
Owner
917-848-1863
Organization Subpart ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2020-08-24
Last Update Date2020-08-24
Business Address
LEGACY THERAPY SOURCE
115 CHERRY HILL LN
STOCKBRIDGE, GA 30281-7360
Phone number: 917-848-1863
Mailing Address
LEGACY THERAPY SOURCE
115 CHERRY HILL LN
STOCKBRIDGE, GA 30281-7360
Phone number: 917-848-1863
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