Pewitt, Logan B

Pewitt, Logan B is an individual health care provider with primary practice located at 4921 Parkview Pl Dept Occupational Therapy, Ste 6F, Saint Louis MO 63110-1032. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Pewitt, Logan B can be contacted via phone (314) 286-1669.

Contact Information

Primary practice address
4921 Parkview Pl Dept Occupational Therapy, Ste 6F Saint Louis MO 63110-1032
Phone: (314) 286-1669
Fax: (314) 747-3662
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 2020005260 Missouri

Profile Details

NPI number 1467084012
LBN Legal business name Pewitt, Logan B
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2020
Last updated Apr 25th, 2024 - about 5 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467084012 NPPES
Missouri MEDICAID 470086264

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