LOGAN LONG

BELLEVUE, WA
NPI1639770159
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WA  OC60925686)
Enumeration Date2020-11-02
Last Update Date2023-01-30
Business Address
LOGAN LONG COTA
1200 112TH AVE NE STE C210
BELLEVUE, WA 98004-3740
Phone number: 425-999-3580
Mailing Address
LOGAN LONG COTA
7683 SE 27TH ST STE 254
MERCER ISLAND, WA 98040-2804
Phone number: 425-999-3580