Individual
DR. LOGAN JON SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
10115 E BELL RD, ST. 101 B, SCOTTSDALE, AZ 85260-2189
(480) 419-3500
Mailing address
PO BOX 18607, FOUNTAIN HILLS, AZ 85269-8607
(480) 419-3500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11583
AZ
Other
Enumeration date
06/01/2015
Last updated
06/02/2015
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