Logan Colwell, MOT, OTR/L
Individual provider Active NPI Pediatric Occupational Therapist · Carrboro, NC
NPI 1831806355 · NPPES record last updated Nov 3, 2022
Key facts
- NPI
- 1831806355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- 15442 (NC)
- Practice address
- 110 Two Hills Dr
Carrboro, NC 27510-2675 - Phone
- (984) 201-7204
- NPI assigned
- Nov 3, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15442 | NC | MD | Pediatric Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 15442 | NC | Yes |
Addresses
Primary practice location
110 Two Hills Dr
Carrboro, NC 27510-2675
Mailing address
110 Two Hills Dr
Carrboro, NC 27510-2675
Phone (984) 201-7204
Other providers in Carrboro, NC
- Kim Lawrence Christopher
- Rebecca Kay Cicale
- Club Nova Community Inc
- Club Nova Community, Inc
- Siobhan Colgan
- Congruence Group
- Heidi R Cook
- Gillian May Corzine
- Shari Evans Coveney
- Rita Thomann Crain
All providers in Carrboro, NC · Pediatric Occupational Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.