Individual
MRS. MARTHA K LOGIGIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NYS LIC OT
Contact information
Practice address
6800 PITTSFORD PALMYRA RD, SUITE 320, FAIRPORT, NY 14450-3584
(585) 223-5090
(585) 425-1785
Mailing address
6800 PITTSFORD PALMYRA RD, SUITE 320, FAIRPORT, NY 14450-3584
(585) 223-5090
(585) 425-1785
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
008778-1
NY
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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