Active NPIIndividual provider

Logan A Gabrielsen, OTR/L

Occupational Therapist in Fort Mill, South Carolina

NPI Number1700442506
Practice location
522 6TH Baxter Xing Ste B, Fort Mill, SC 29708-6613
Fax
888-711-0441
Last updated
November 24, 2020

Logan A Gabrielsen is an Occupational Therapist based in Fort Mill, SC. Logan A Gabrielsen practices in Fort Mill, SC and has the professional credentials of OTR/L. The NPI Number for Logan A Gabrielsen is 1700442506 and holds a License No. 4399 (MA). The current practice location address for Logan A Gabrielsen is 522 6TH Baxter Xing Ste B, Fort Mill, SC 29708-6613 and can be reached out via phone at 803-929-7408 and via fax at 888-711-0441.

Provider Profile Details

NPI Number
1700442506
Provider Name
Logan A Gabrielsen
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
522 6TH Baxter Xing Ste B, Fort Mill, SC 29708-6613
Phone Number
803-929-7408
Fax Number
888-711-0441
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
May 16, 2019
Last Update Date
November 24, 2020
Certification Date
November 24, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
522 6TH Baxter Xing Ste B
Fort Mill, SC 29708-6613
Zip
29708-6613
Phone Number
803-929-7408
Fax Number
888-711-0441
Fort Mill, SC 29708Get directions →

Provider Business Mailing Address Details

Address
10 S 9TH St
Ste 4
Noblesville, IN 46060-2631
City
Noblesville
State
IN
Zip
46060-2631
Phone Number
765-524-3946
Fax Number
317-708-6496

License Information

License Number (1)
4399
License State (1)
MA
Taxonomy (1)
Occupational Therapy Assistant · 224Z00000X
License Number (2)
5913
License State (2)
SC
Taxonomy (2)
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Logan A Gabrielsen, OTR/L?

The NPI number of Logan A Gabrielsen, OTR/L is 1700442506. It was assigned on May 16, 2019 and is currently active in the NPPES registry.

What is the specialty of Logan A Gabrielsen, OTR/L?

Logan A Gabrielsen, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in MA under license number 4399.

Where does Logan A Gabrielsen, OTR/L practice?

The practice location is 522 6TH Baxter Xing Ste B, Fort Mill, SC 29708-6613. The office can be reached at 803-929-7408 (phone) or 888-711-0441 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700442506 directly on the NPPES registry website.

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