| Logan Long, OTR/L | |
|
5980 Kyle Pkwy, Kyle, TX 78640-2400 | |
| (512) 308-3015 | |
| Not Available |
| Full Name | Logan Long |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 5980 Kyle Pkwy, Kyle, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740792167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | 118693 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Long, OTR/L 507 Pressler St Apt 4140, Austin, TX 78703-5193 Ph: () - | Logan Long, OTR/L 5980 Kyle Pkwy, Kyle, TX 78640-2400 Ph: (512) 308-3015 |
Ms. Nicole Anne Brodhead, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 407 S Old Highway 81, Kyle, TX 78640 Phone: 512-504-3035 Fax: 512-504-9287 | |
Vachonna S Durall, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4701 Ratcliffe Dr, Kyle, TX 78640 Phone: 512-920-6400 | |
Loren Nicole Moses, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 407 S Old Highway 81, Kyle, TX 78640 Phone: 512-504-3035 Fax: 512-504-9287 | |
Keith Tisdell, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 189 Decker, Kyle, TX 78640 Phone: 954-328-5436 | |
Ms. Susan Jean Nickelson, OTRIL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 407 S Old Highway 81, Kyle, TX 78640 Phone: 512-504-3035 Fax: 512-504-9287 | |
Stacy Rayann Bustos, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 132 Ashwood S, Kyle, TX 78640 Phone: 281-851-3086 |