Individual
JASON LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
22454 US HIGHWAY 72 STE 210, ATHENS, AL 35613-2678
(256) 233-4486
Mailing address
204 LOWE AVENUE, SUITE 210 - BLDG 3, HUNTSVILLE, AL 35801
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15630
TN
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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