Whalio Doctors

NPI 1114286549

Lisa Logomarsino

Practitioner Pediatric Occupational Therapist Southgate, MI

Practice location

Address
13101 Allen Rd, Southgate, MI 48195-2216
Phone
(734) 785-7700
Mailing address
910 Fernwood Rd, Royal Oak, MI 48067-1641

Registered specialties

Pediatric Occupational Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225XP0200X Licence 5201008253 (MI)

Registry record

NPI
1114286549
Entity type
Individual
Sex (as registered)
Female
NPI issued
4 May 2012
Record last updated
4 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.