TRACY ANN LOGAN

ORMOND BEACH, FL
NPI1578987509
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  13006)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: TX  212209)
224Z00000X Occupational Therapy Assistant
(Licence: CA  2672)
224Z00000X Occupational Therapy Assistant
(Licence: IA  001017)
Enumeration Date2014-02-11
Last Update Date2014-02-11
Business Address
Ms. TRACY ANN LOGAN COTA
25 AUTUMNWOOD TRL
ORMOND BEACH, FL 32174-4335
Phone number: 386-290-6310
Mailing Address
Ms. TRACY ANN LOGAN COTA
25 AUTUMNWOOD TRL
ORMOND BEACH, FL 32174-4335
Phone number: 386-290-6310