Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LOGAN DAVIDSON GOODMAN, COTA
Active Sole ProprietorLOGAN DAVIDSON GOODMAN, COTA is a Occupational Therapy Assistant healthcare provider located in TWIN CITY, Georgia. NPI 1568295426 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · TWIN CITY, GA
Registration Details
- NPI Number
- 1568295426
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 24, 2024 (1.9689232707801 yrs)
- Last Updated
- Aug 24, 2024
- License
-
OTA003034 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
211 MATHIS AVETWIN CITY, GA, 304714232Browse GA providers · Browse ZIP 30471
- Phone
- 4787632141
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
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.