Individual
LOGAN LEIGH GOBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
232 E RASPBERRY ST, BETHLEHEM, PA 18018-4246
(570) 617-5264
Mailing address
232 E RASPBERRY ST, BETHLEHEM, PA 18018-4246
(570) 617-5264
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP010496
PA
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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