Individual
THERESA LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
18109 PRINCE PHILIP DR STE 155, OLNEY, MD 20832-1591
(301) 260-3280
(301) 260-3279
Mailing address
18109 PRINCE PHILIP DR STE 155, OLNEY, MD 20832-1591
(301) 260-3280
(301) 260-3279
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3033
MD
Other
Enumeration date
11/11/2013
Last updated
07/31/2020
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