Individual
DR. ANNA J LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
918 W BRUNDAGE LN, SHERIDAN, WY 82801-5827
(307) 673-4420
Mailing address
201 KENWOOD DR, NEWCASTLE, WY 82701-2638
(307) 629-0199
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1753
WY
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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