Individual
LOGHAN NACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT, MSOT, OTR
Contact information
Practice address
49 WALNUT ST, WELLESLEY, MA 02481-2117
(781) 239-0100
Mailing address
17 MORAINE ST, JAMAICA PLAIN, MA 02130-4315
(717) 512-6490
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14451
MA
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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