Individual
CARRON A LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
945 ARNOW AVE # 3, BRONX, NY 10469-3905
(646) 708-2877
Mailing address
945 ARNOW AVE # 3, BRONX, NY 10469-3905
(646) 708-2877
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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