LOGAN ARIC TKACH

LIVONIA, MI
NPI1568197671
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MI  462889)
Enumeration Date2022-07-21
Last Update Date2022-07-21
Business Address
LOGAN ARIC TKACH OTR/L
36475 FIVE MILE RD
LIVONIA, MI 48154-1971
Phone number: 313-318-2403
Mailing Address
LOGAN ARIC TKACH OTR/L
9885 MANOR AVE
ALLEN PARK, MI 48101-1344
Phone number: 313-318-2403
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