Individual
LOGAN GORAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
600 N KOELLER ST, OSHKOSH, WI 54902-3241
(920) 799-4696
Mailing address
2150 S MCCLELLAND ST APT 427, SALT LAKE CITY, UT 84106-6213
(262) 312-8359
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16327-24
—
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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