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Individual
DR. LOGAN REDDY
Active
Individual
DR. LOGAN REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2305211938
VA
225100000X
Physical Therapist
Primary
PT61231005
WA
Other
Enumeration date
03/13/2024
Last updated
11/14/2024
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