LOGAN VIDRINE

WEST MONROE, LA
NPI1801609946
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: LA  345273)
Enumeration Date2025-01-31
Last Update Date2025-01-31
Business Address
LOGAN VIDRINE LOTR
107 SUMMER LN
WEST MONROE, LA 71291-3501
Phone number: 318-396-1969
Mailing Address
LOGAN VIDRINE LOTR
PO BOX 1377
WEST MONROE, LA 71294-1377
Phone number: