Individual provider · Type 1 NPI

Elizabeth E. Logan, O.T.R. C.H.T.

Occupational Therapist · Jackson, WY

NPI number 1417006107 Active

Practice location

310 East Broadway
Jackson, WY 83001

Mailing address

PO Box 4596
Jackson, WY 83001-4596

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOTR510 (WY)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1417006107

Elizabeth E. Logan, O.T.R. C.H.T.'s National Provider Identifier is 1417006107, issued on Jan 10, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Jackson, WY. The record was last updated on Jul 9, 2007.