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Individual

LOGAN RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
20330 N CAVE CREEK RD STE A-150, PHOENIX, AZ 85024-4465
(602) 765-4338
(602) 765-4761
Mailing address
1860 N 95TH LN STE 105, PHOENIX, AZ 85037-4333
(602) 765-4338
(602) 765-4761

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
125113
TX
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
07/24/2023
Last updated
04/13/2026
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