Individual
LOGAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5225 W 11TH ST APT 1611, GREELEY, CO 80634-2183
(413) 977-9310
Mailing address
5225 W 11TH ST APT 1611, GREELEY, CO 80634-2183
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0006130
CO
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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