Individual
STEFANIE ANN LOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD OTRL
Contact information
Practice address
981 HIGH HOUSE RD, STE 100, CARY, NC 27513-3510
(919) 388-0111
(919) 388-8668
Mailing address
981 HIGH HOUSE RD, STE 100, CARY, NC 27513-3510
(919) 388-0111
(919) 388-8668
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6367
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145CU
BCBS OF NC
NC
05
—
7302007
—
NC
Enumeration date
05/31/2007
Last updated
08/29/2011
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