Individual
MR. LOGAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
6410 ARLINGTON BLVD STE A, FALLS CHURCH, VA 22042-2359
(703) 717-7657
Mailing address
99 SCARLETT DR, HUNTINGTOWN, MD 20639-3705
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305216013
VA
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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