Individual
LOGAN BROOKE RASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
16359 SUSSEX HWY, BRIDGEVILLE, DE 19933-2966
(302) 337-7990
Mailing address
16359 SUSSEX HWY, BRIDGEVILLE, DE 19933-2966
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
U1-0012633
DE
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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