Individual
ELIZABETH LOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
400 N 6TH ST, SAINT CHARLES, MO 63301-1838
(636) 443-4000
Mailing address
2031 BRAMBLETT XING, O FALLON, MO 63366-3262
(636) 541-8922
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2016025475
MO
Other
Enumeration date
08/12/2016
Last updated
02/08/2017
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