MS. Logan Denise Luke, OTR/L

NPI #1649996489 in Lake Ridge, Virginia

Provider Information

NPI Number: 1649996489
Entity Type: Individual
Name: MS. Logan Denise Luke, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Oct 13, 2022
Last Updated: Oct 13, 2022

Practice Location

Address: 12191 CLIPPER DR
City: Lake Ridge
State: Virginia
ZIP Code: 22192-2237
Phone: (703) 457-8648

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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