Individual
MR. LOGAN ROBERT MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
101 MANNING DR, REHAB UNIT, CHAPEL HILL, NC 27514-4220
(919) 444-4949
Mailing address
101 MANNING DR, REHAB UNIT, CHAPEL HILL, NC 27514-4220
(919) 444-4949
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9429
NC
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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