Individual
LEAH LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR
Contact information
Practice address
9929 E 126TH ST, FISHERS, IN 46038-9404
(317) 436-8961
(317) 436-8966
Mailing address
9929 E 126TH ST, FISHERS, IN 46038-9404
(317) 436-8961
(317) 436-8966
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005523A
IN
Other
Enumeration date
08/06/2013
Last updated
06/08/2015
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