Brianna Michelle Legovich, OTR/L | |
636 Louisiana Ave, Brooklyn, NY 11239-1526 | |
(718) 557-0777 | |
Not Available |
Full Name | Brianna Michelle Legovich |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 636 Louisiana Ave, Brooklyn, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386494532 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 028997 (New York) | Primary |
Provider Name | Ats Rehab Ot & Pt & Slp Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841711454 PECOS PAC ID: 2567734452 Enrollment ID: O20170828003406 |
Mailing Address | Practice Location Address |
---|---|
Brianna Michelle Legovich, OTR/L 3460 Silverton Ave, Wantagh, NY 11793-2924 Ph: (516) 462-4432 | Brianna Michelle Legovich, OTR/L 636 Louisiana Ave, Brooklyn, NY 11239-1526 Ph: (718) 557-0777 |
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