Most Relevant Information
Provider Data
| NPI Number: | 1003230962 |
| Provider Name: | ELIZABETH LEGG OT |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | OT.008559 |
Most Important Dates
| Enumeration Date: | 02/13/2014 |
| Last Updated: | 03/17/2018 |
Provider Practice Location
1112 GALLIA ST
PORTSMOUTH
OH
456624161
Practice Location Phone/Fax
| Phone: | 7403543995 |
| Fax: |
Provider Mailing Location
416 STEWART HOLLOW RD
PORTSMOUTH
OH
456628972
Provider Mailing Phone/Fax
| Phone: | 7409610201 |
| Fax: |