Individual
LOGAN NARGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 DERONDA ST, AMERY, WI 54001-1404
(715) 268-8171
Mailing address
400 DERONDA ST, AMERY, WI 54001-1404
(715) 268-8171
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2999-29
WI
Other
Enumeration date
03/23/2020
Last updated
06/19/2024
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