Individual
CHARLENE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8020 W SAHARA AVE STE 160, LAS VEGAS, NV 89117-7917
(702) 595-5437
Mailing address
8020 W SAHARA AVE STE 160, LAS VEGAS, NV 89117-7917
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2081
NV
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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