Individual
LOGAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23224-4915
(804) 675-5000
Mailing address
2104 CEDAR ST, RICHMOND, VA 23223-6316
(276) 692-7545
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119009174
VA
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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