Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | OT.008559 | OH |
Y | 225XP0200X | Occupational Therapist - Pediatrics | OT.008559 | OH |
NPI | 1003230962 |
---|---|
Provider Name | Elizabeth Legg |
First Address | Portsmouth, OH 45662-8972 |
Second Address | Portsmouth, OH 45662-4161 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2014 |
Last Update Date | 17/03/2018 |