Individual
LOGAN RENEE LOTT-INGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
129 ZINC RD, HARRISON, AR 72601-5980
(479) 234-7450
Mailing address
4355 S NATIONAL AVE APT 610, SPRINGFIELD, MO 65810-2652
(417) 521-8023
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
AR
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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