Logan, Tina Marie

Logan, Tina Marie is an individual health care provider with primary practice located at 20458 Midway Ave , Southfield MI 48075-3811. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Logan, Tina Marie can be contacted via phone (248) 469-9856.

Contact Information

Primary practice address
20458 Midway Ave Southfield MI 48075-3811
Phone: (248) 469-9856
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT14109 Florida
Nursing Service Providers / Registered Nurse 163W00000X 4704290093 Michigan

Profile Details

NPI number 1669767935
LBN Legal business name Logan, Tina Marie
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2011
Last updated Oct 23rd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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