Organization
PHYSICAL THERAPY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOGAN ARDEN KANODE DPT (PHYSICAL THERAPIST, OWNER)
(575) 742-6806
Entity
Organization
Contact information
Practice address
1609 N PRINCE ST, CLOVIS, NM 88101-4850
(575) 742-6806
Mailing address
1609 N PRINCE ST, CLOVIS, NM 88101-4850
(575) 935-0360
(575) 935-0361
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4234
NM
Other
Enumeration date
01/03/2018
Last updated
10/29/2020
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