Individual
MS. JANET L. LOGSDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
401 SAINT MARYS DR, EDWARDSVILLE, IL 62025-4276
(618) 692-1330
Mailing address
3801 OLD BRUCEVILLE RD, VINCENNES, IN 47591-3889
(812) 886-4677
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.002404
IL
Other
Enumeration date
09/29/2012
Last updated
09/29/2012
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