Individual
LOGAN PATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
170 STATE HIGHWAY DD, MARSHFIELD, MO 65706-1513
(417) 859-2120
Mailing address
27779 STATE HIGHWAY 38, MARSHFIELD, MO 65706-9363
(573) 276-8190
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2019005364
MO
Other
Enumeration date
11/29/2020
Last updated
11/29/2020
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