Individual
LOGAN AVERY TAFUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
2814 GRAY FOX RD, MONROE, NC 28110-8422
(704) 821-0568
Mailing address
9800 CEDAR CIRCLE DR APT 210, CHARLOTTE, NC 28210-8358
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
16032
NC
224Z00000X
Occupational Therapy Assistant
OTA 13360
FL
Other
Enumeration date
08/06/2016
Last updated
07/17/2023
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