Graduated: 2022
NPI: 1689398141
Practice Locations (2)
LEGACY HEALTHCARE SERVICES INC
15950 MANCHESTER RD
ELLISVILLE, MO 630112170
6362202748
FOX REHABILITATION SERVICES OT MO LLC
10199 WOODFIELD LN
SAINT LOUIS, MO 631322922
8774073422
Source: CMS National Downloadable File, September 2026.