Individual
MELISSA KAY LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
9601 INTERSTATE 630 EXIT 7, LITTLE ROCK, AR 72205-7202
(501) 202-7598
Mailing address
PO BOX 1663, HEBER SPRINGS, AR 72543-1663
(501) 362-2339
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3071
AR
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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