Speech · Occupational · Physical therapy

Skilled, compassionate therapy services for patients of all ages.

Hettie Legg & Associates provides Speech Language Pathology, Occupational Therapy, and Physical Therapy in an outpatient setting in Nacogdoches, Texas. Each plan of care is built around the patient’s needs, abilities, family priorities, and real-life goals.

Request an appointment Call 936-564-6907

Speech Language Pathology

Speech Therapy

Speech Language Pathologists work with patients of all ages to assess, diagnose, and treat disorders of speech, language, pragmatics, cognition, and swallowing. At HLA, speech pathologists are dedicated to providing skilled and compassionate services to every patient they serve.

Disorders and diagnoses treated by SLPs

Language disorders
Articulation disorders
Fluency disorders
Voice disorders
Social/pragmatic communication disorders
Developmental delays
Oral motor and feeding disorders
Dysphagia / swallowing disorders
Tongue thrust
Augmentative and alternative communication
Accent reduction
Autism spectrum disorder
Cerebral palsy
Deaf / hard of hearing
Traumatic brain injury
Stroke
Rare genetic disorders

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Independence · motor skills · sensory support

Occupational Therapy

Occupational Therapists work with patients of all ages to assess, diagnose, and treat deficits in motor and sensory function that can affect independence, productivity, self-care, school participation, work, and daily routines. At HLA, occupational therapists are dedicated to providing skilled and compassionate services to every patient they serve.

Disorders and diagnoses treated by OTs

Developmental delays
Fine motor delays
Neuromuscular disorders
Sensory processing disorders
Oculomotor dysfunction and visual perception disorders
Self-care skills and ADL training
Traumatic brain injury
Stroke
Spinal cord injury
Arthritis
Adaptive equipment training
Autism spectrum disorder
Attention-deficit/hyperactivity disorder
Oppositional defiant disorder
Cerebral palsy
Rare genetic disorders

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Movement · strength · function

Physical Therapy

Physical Therapists work with patients of all ages to assess, diagnose, and treat limitations in mobility and function. At HLA, physical therapists are dedicated to providing skilled and compassionate services that support strength, balance, coordination, safety, and movement for daily life.

Disorders and diagnoses treated by PTs

Developmental delays
Neuromuscular disorders
Spinal cord injuries
Amputation
Orthopedics
Traumatic brain injury
Stroke
Osteoporosis
Balance and falls
Autism spectrum disorder
Cerebral palsy
Torticollis / plagiocephaly
Spina bifida
Rare genetic disorders

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Oral motor · feeding · swallowing

Feeding and Swallowing Support

Feeding and swallowing concerns are included within HLA’s Speech Language Pathology services. Families can ask about oral motor, feeding, dysphagia, swallowing, and mealtime concerns when contacting the clinic or beginning the referral process.

Oral motor and feeding disorders
Dysphagia / swallowing disorders
Mealtime skill concerns
Family education and carryover support

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Care coordination

Not sure which service is the right fit?

Families, physicians, schools, and agencies can call the clinic to discuss the concern, ask about next steps, and confirm what information may be needed for evaluation or referral.

What to expect

Call or request information.
Share the patient’s main concerns and goals.
Confirm referral, insurance, or evaluation requirements.
Schedule the evaluation or next available appointment.
Begin an individualized plan of care when appropriate.

Referral information