Individual
LOGAN MARIE MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3777 E HOUSTON AVE, GILBERT, AZ 85234-2166
(480) 507-1359
Mailing address
1666 S EXTENSION RD APT 18-102, MESA, AZ 85210-9347
(573) 286-9089
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-008717
AZ
Other
Enumeration date
02/18/2022
Last updated
02/21/2022
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