DESTINEE LOGAN

GRAPEVINE, TX
NPI1871251678
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: TX  122225)
Enumeration Date2021-11-30
Last Update Date2021-11-30
Business Address
DESTINEE LOGAN OTD, OTR
1643 LANCASTER DR STE 100
GRAPEVINE, TX 76051-3593
Phone number: 817-329-2524
Mailing Address
DESTINEE LOGAN OTD, OTR
2800 BRAZOS BLVD APT 12314
EULESS, TX 76039-5446
Phone number:
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