Individual
LOGAN SEBASTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
209 MADISON ST STE LL2, ALEXANDRIA, VA 22314-1764
(703) 299-6688
Mailing address
209 MADISON ST STE LL2, ALEXANDRIA, VA 22314-1764
(703) 299-6688
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305211185
VA
Other
Enumeration date
08/31/2016
Last updated
07/21/2022
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