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Tracy Logan, COTA

NPI 1578987509 · on the registry since 2014

Practice

Address
25 Autumnwood Trl
Ormond Beach, FL 32174
Phone
(386) 290-6310

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Also registered as
224Z00000X
224Z00000X
224Z00000X
Licence states on file
FL, TX, CA, IA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-02-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida