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Individual

CASEY NICOLE LOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
6385 CORPORATE DR STE 307, COLORADO SPRINGS, CO 80919-5913
(719) 219-9795
Mailing address
6173 LANTANA LIGHT VW, COLORADO SPRINGS, CO 80922-3456
(813) 765-1445

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0019448
CO
2251X0800X
Orthopedic Physical Therapist
PT40541
FL

Other

Enumeration date
08/18/2023
Last updated
11/14/2024
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