Individual
LOGAN WAYNE STEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
504 ELMINGTON AVE, NASHVILLE, TN 37205-2508
(615) 292-4900
Mailing address
1655 LIBERTY LN, GALLATIN, TN 37066-9146
(615) 973-5072
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6975
TN
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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