Individual
LOGAN ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2900 CHARLEVOIX DR SE, GRAND RAPIDS, MI 49546-7085
(616) 975-5092
Mailing address
1143 HIGHWAY 162, CEDARVILLE, AR 72932
(479) 353-2679
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1126
AR
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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