Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LOGAN HOWARD DANIEL LATVIS, PTA
ActiveLOGAN HOWARD DANIEL LATVIS, PTA is a Occupational Therapist healthcare provider located in FORT DEFIANCE, Arizona. NPI 1447082789 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · FORT DEFIANCE, AZ
Registration Details
- NPI Number
- 1447082789
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 15, 2024 (1.9907357050583 yrs)
- Last Updated
- Aug 15, 2024
- Licenses
-
4159-19 (WI)5502008461 (MI)06006862A (IN)CP033283A (AZ)
Practice Information
- Address
-
CORNER OF RTE 12 AND, RTE 7FORT DEFIANCE, AZ, 86504Browse AZ providers · Browse ZIP 86504
- Phone
- 9287298000
- Primary Specialty
-
Occupational Therapist
225200000X
- Additional Specialty
- Occupational Therapist
- Additional Specialty
- Occupational Therapist
- Additional Specialty
- Occupational Therapist
Other Occupational Therapist Providers in FORT DEFIANCE, AZ
| Name | Credential | NPI |
|---|---|---|
| TERESA RODRIGUEZ | PTA | 1376903971 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.