Individual
LOGAN GEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A
Contact information
Practice address
19536 STATE RTE N, SAINT MARY, MO 63673-9002
(573) 535-1407
Mailing address
19536 STATE RTE N, SAINT MARY, MO 63673-9002
(573) 535-1407
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2016025040
MO
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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