Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY MARIE LEGROS
Active Sole ProprietorSTACEY MARIE LEGROS is a Occupational Therapy Assistant healthcare provider located in DERIDDER, Louisiana. NPI 1477193183 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · DERIDDER, LA
Registration Details
- NPI Number
- 1477193183
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 10, 2020 (6.6315039374112 yrs)
- Last Updated
- Jan 10, 2020
- License
-
304418 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
19503 HIGHWAY 171DERIDDER, LA, 70634Browse LA providers · Browse ZIP 70634
- Phone
- 3372027045
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.