Individual
MS. BARBARA LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3645 TARRAGON DR, DECATUR, GA 30034-6226
(504) 237-8641
Mailing address
3645 TARRAGON DR, DECATUR, GA 30034-6226
(504) 237-8641
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007863
CT
Other
Enumeration date
07/07/2007
Last updated
01/20/2012
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