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1366141020
LOGAN MARTIN
RICHMOND, VA
NPI
1366141020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: VA 0119009174)
Enumeration Date
2023-03-01
Last Update Date
2023-03-01
Business Address
LOGAN MARTIN OTR/L
1201 BROAD ROCK BLVD
RICHMOND, VA 23224-4915
Phone number: 804-675-5000
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Mailing Address
LOGAN MARTIN OTR/L
2104 CEDAR ST
RICHMOND, VA 23223-6316
Phone number: 276-692-7545
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