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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANDREA MICHELE LOGWOOD, OT

Active Sole Proprietor

ANDREA MICHELE LOGWOOD, OT is a Pediatric Occupational Therapist healthcare provider located in FAYETTEVILLE, West Virginia. NPI 1598928723 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapist · FAYETTEVILLE, WV

Registration Details

NPI Number
1598928723
Provider Type
Individual
Gender
Female
NPI Issued
Jul 8, 2008 (18.073031809642 yrs)
Last Updated
Jul 8, 2008
Licenses
1361 (WV)
1361 (WV)
Sole Proprietor
Yes

Practice Information

Address
111 FAYETTE AVENUE
FAYETTEVILLE, WV, 25840
Browse WV providers · Browse ZIP 25840
Phone
3042221421
Primary Specialty
Pediatric Occupational Therapist
225XP0200X
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.