Individual
LOGAN BEVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR
Contact information
Practice address
21325 EVA ST, MONTGOMERY, TX 77356-1967
(936) 463-1701
(346) 202-0123
Mailing address
218 FM 1791 RD, HUNTSVILLE, TX 77340-2009
(936) 661-5364
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/10/2023
Last updated
09/23/2024
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