Individual
HOLLY MAURINE LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.P.T.
Contact information
Practice address
1601 W. ST. MARY'S ROAD, TUCSON, AZ 85745
(520) 872-4107
Mailing address
6890 E. SUNRISE DR SUITE 120-353, TUCSON, AZ 85750
(970) 390-1594
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5177
CO
225100000X
Physical Therapist
Primary
7055
AZ
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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