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Contact Information

JENNIFER LEGACY, PT
31 MIDDLE ST
LYNDONVILLE, VT05851
 Phone: 802-626-4224
 Fax: 802-626-5042
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for JENNIFER LEGACY · (Female)

NPI Number 1942257977
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 05/27/2006
Last updated 06/02/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • VT License # 040-003546
  • VT Medicaid 1011382
  • Other 0003546 VT MANAGED CARE
  • VT Other 65837 BC/BS
  • VT Other 398447 MVP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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