Individual
CALEB LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
116 INDUSTRIAL DR., DUCKTOWN, TN 37326
(423) 496-3245
Mailing address
6416 CUTCANE RD, MINERAL BLUFF, GA 30559-3078
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2839
TN
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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