Individual
LOGAN GUESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
13951 W GRAND AVE STE 201, SURPRISE, AZ 85374-2436
(623) 537-9730
Mailing address
PO BOX 95, WADDELL, AZ 85355-0095
(623) 628-8722
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13213
AZ
Other
Enumeration date
08/10/2017
Last updated
08/05/2023
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