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Individual

KATHERINE LOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
1409 ROPER MOUNTAIN RD, APT. 165, GREENVILLE, SC 29615-5101
(864) 542-7393
Mailing address
1409 ROPER MOUNTAIN RD, APT. 165, GREENVILLE, SC 29615-5101
(864) 542-7393

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2988
SC

Other

Enumeration date
03/27/2014
Last updated
03/27/2014
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