| Andrea Michele Logwood, OT | |
|
111 Fayette Avenue, Fayetteville, WV 25840 | |
| (304) 222-1421 | |
| Not Available |
| Full Name | Andrea Michele Logwood |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 111 Fayette Avenue, Fayetteville, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598928723 | NPI | - | NPPES |
| 3810011514 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 1361 (West Virginia) | Secondary |
| 225XP0200X | Occupational Therapist - Pediatrics | 1361 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Michele Logwood, OT Po Box 299, Beckley, WV 25802 Ph: (304) 222-1421 | Andrea Michele Logwood, OT 111 Fayette Avenue, Fayetteville, WV 25840 Ph: (304) 222-1421 |
Mrs. Brooke Sapp, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 Fayette Ave, Fayetteville, WV 25840 Phone: 304-574-1176 | |
Mr. Douglas Lincoln Lilly, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 Fayette Ave, Fayetteville, WV 25840 Phone: 304-574-1176 Fax: 304-574-4109 |