Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XH1200X | Occupational Therapist - Hand | 001135 | CT |
Y | 225XH1200X | Occupational Therapist - Hand | 3204 | NH |
NPI | 1043236151 |
---|---|
Provider Name | Kathleen M. Legeyt |
First Address | New Britain, CT 06051-2636 |
Second Address | Exeter, NH 03833-2995 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 08/09/2021 |