Individual
LOGAN O'NEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4776 E GUADALUPE RD APT 3042, GILBERT, AZ 85234-7594
(801) 920-6093
Mailing address
4776 E GUADALUPE RD APT 3042, GILBERT, AZ 85234-7594
(801) 920-6093
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-008046
AZ
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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