Individual
MICHELLE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 IRIS DR, SALINAS, CA 93906-3514
(831) 449-1515
Mailing address
1709 INDEPENDENCE BLVD, APT 205, SALINAS, CA 93906-5382
(724) 316-9055
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT-39557
CA
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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