Individual
LOGAN BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
851 S CLINTON ST, DEFIANCE, OH 43512-2770
(419) 785-4415
Mailing address
851 S CLINTON ST, DEFIANCE, OH 43512-2770
(419) 785-4415
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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