Individual
GARRETT LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTD
Contact information
Practice address
16844 N 59TH AVE, GLENDALE, AZ 85306-1118
(480) 787-5387
(623) 209-8822
Mailing address
9150 W INDIAN SCHOOL RD STE 130, PHOENIX, AZ 85037-2388
(480) 787-5387
(623) 232-3250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-009747
AZ
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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