ELIZABETH E LOGAN

JACKSON, WY
NPI1417006107
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WY  OTR510)
Enumeration Date2007-01-10
Last Update Date2007-07-09
Business Address
Ms. ELIZABETH E LOGAN O.T.R. C.H.T.
310 EAST BROADWAY
JACKSON, WY 83001
Phone number: 307-734-2877
Mailing Address
Ms. ELIZABETH E LOGAN O.T.R. C.H.T.
PO BOX 4596
JACKSON, WY 83001-4596
Phone number: 307-734-2877
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