NPI 1770899460

Matthew Legasse, CO

Practitioner Orthotist Stockton, CA

Practice location

Address: 1236 N El Dorado St STE Abc, Stockton, CA 95202-1324
Phone: (209) 944-5517

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1770899460
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Aug 2010
Record last updated: 19 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.