Doctor Name: | MRS. ANDREA ROBINSON LOGAN |
NPI Number: | 1033288469 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C. M. T. |
License Number: | M01894 |
Business Practice Address: | 1207 Valley Dr Hyattsville, MD - 207822325 |
Business Phone Number: | 3015595428 |
Business Fax Number: | 3015593004 |
Mailing Address: | 1207 Valley Dr, HYATTSVILLE |
State: | MD |
Postal Code: | 207822325 |
Phone Number: | 3015595428 |
Fax Number: | 3015593004 |
NPI Enumeration Date: | 11/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | M01894 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |