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1518504323
DANIELLE COLSTON LOGAN
ACWORTH, GA
NPI
1518504323
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA OT007594)
Enumeration Date
2019-11-30
Last Update Date
2019-11-30
Business Address
DANIELLE COLSTON LOGAN OTR/L
4900 IVEY RD NW STE 1720
ACWORTH, GA 30101-4101
Phone number: 770-917-5737
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Mailing Address
DANIELLE COLSTON LOGAN OTR/L
659 HOLLY ST
CANTON, GA 30114-9595
Phone number: 770-617-2598
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