Individual
LOGAN COLWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
110 TWO HILLS DR, CARRBORO, NC 27510-2675
(984) 201-7204
Mailing address
110 TWO HILLS DR, CARRBORO, NC 27510-2675
(984) 201-7204
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
15442
NC
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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