IndividualActive
Prentise Logan, CERTIFIED HAIR LOSS
NPI 1659954709 · Prosthetics Case Management · Youngstown, OH
Provider details
- NPI number
- 1659954709
- Entity type
- Individual
- Primary specialty
- Prosthetics Case ManagementOther Service Providers
- Credential
- CERTIFIED HAIR LOSS
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
985 Churchill Hubbard Rd
Youngstown, OH 44505-1338
Phone: (614) 806-1720
Approximate (ZIP-level) locationGet directions
Mailing address
985 Churchill Hubbard Rd
Youngstown, OH 44505-1338
Registry dates
- Enumerated
- 2021-05-05
- Last updated
- 2026-02-23
- Certified
- 2026-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.