LOGAN LONG

KYLE, TX
NPI1740792167
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist Pediatrics
(Licence: TX  118693)
Enumeration Date2017-10-25
Last Update Date2017-10-25
Business Address
LOGAN LONG OTR/L
5980 KYLE PKWY
KYLE, TX 78640-2400
Phone number: 512-308-3015
Mailing Address
LOGAN LONG OTR/L
507 PRESSLER ST APT 4140
AUSTIN, TX 78703-5193
Phone number:
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