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Individual

LOGAN JUST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
800 W OAKTON ST, ARLINGTON HEIGHTS, IL 60004-4602
(847) 368-7400
Mailing address
5727 N MANTON AVE, CHICAGO, IL 60646-5523
(847) 363-3944

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.014037
IL

Other

Enumeration date
04/12/2021
Last updated
04/12/2021
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