Individual
LAUREN BARBARA LOGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2225 E. SOUTHERN AVENUE, MESA, AZ 85202
(480) 462-3880
Mailing address
2225 E. SOUTHERN AVENUE, MESA, AZ 85202
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
007860
AZ
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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