Individual
LOGAN HERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1200 S COLUMBIA RD, GRAND FORKS, ND 58201-4036
(701) 780-5000
Mailing address
1200 S COLUMBIA RD, GRAND FORKS, ND 58201-4036
(701) 780-5000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2000
ND
2251X0800X
Orthopedic Physical Therapist
3449
NE
Other
Enumeration date
05/28/2015
Last updated
06/15/2016
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