| Ms Logan Denise Luke, OTR/L | |
|
12191 Clipper Dr, Lake Ridge, VA 22192-2237 | |
| (703) 457-8648 | |
| Not Available |
| Full Name | Ms Logan Denise Luke |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 12191 Clipper Dr, Lake Ridge, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649996489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 0119-009690 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Logan Denise Luke, OTR/L 10800 Old Saint Augustine Rd Apt 106, Jacksonville, FL 32257-1021 Ph: (904) 502-1889 | Ms Logan Denise Luke, OTR/L 12191 Clipper Dr, Lake Ridge, VA 22192-2237 Ph: (703) 457-8648 |
Taryn Nichelle Pettigrew, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12185 Clipper Dr, Lake Ridge, VA 22192 Phone: 703-457-8648 | |
Kayla Sharma, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 12825 Minnieville Rd Ste 201, Lake Ridge, VA 22192 Phone: 703-647-3130 |