Individual
LOGAN TYLER CHAMBLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6700 JEFFERSON ST NE BLDG D2, ALBUQUERQUE, NM 87109-4394
(595) 232-3311
Mailing address
9509 CANDLE LN NE, ALBUQUERQUE, NM 87111-1609
(662) 419-4309
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5837
NM
Other
Enumeration date
03/07/2021
Last updated
03/07/2021
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