Individual
DR. LOGAN BRENT BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
272 HIGHLAND DR, LEBANON, VA 24266-4666
(276) 889-4090
Mailing address
272 HIGHLAND DR, LEBANON, VA 24266-4666
(276) 889-4090
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305211724
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4979711
—
VA
Enumeration date
02/09/2018
Last updated
07/27/2021
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