Logan Long, OTR/L

NPI #1740792167 in Kyle, Texas

Provider Information

NPI Number
1740792167
Entity Type
Individual
Name
Logan Long, OTR/L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist - Pediatrics
Credential
OTR/L
Enumeration Date
Oct 25, 2017
Last Updated
Oct 25, 2017

Practice Location

Address
5980 KYLE PKWY
City
Kyle
State
Texas
ZIP Code
78640-2400
Phone
(512) 308-3015

Specialties & Taxonomy Codes

Specialty
Occupational Therapist - PediatricsPediatrics

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