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NPI Code Detail

MEDICARE: LOGAN ORTT

MEDICARE: LOGAN ORTT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1255283008
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOGAN ORTT
Provider Business Mailing Address
First Line : 2600 CLIFTON AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45220-2872
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2600 CLIFTON AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45220-2872
Country : US
Telephone Number : 513-556-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2026
Last Update Date : 02/13/2026

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Directions to “ LOGAN ORTT ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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