Individual
MS. LOGAN B PEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
300 POLARIS PKWY, WESTERVILLE, OH 43082-7989
(614) 776-0970
Mailing address
300 POLARIS PKWY, WESTERVILLE, OH 43082-7989
(614) 776-0970
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
2020005260
MO
225XH1200X
Hand Occupational Therapist
Primary
OT013342
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470086264
—
MO
Enumeration date
02/11/2020
Last updated
08/05/2025
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