Individual
AMANDA LOGAN MARCIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 CANAL ST STE 3, LOWELL, MA 01852-4589
(888) 855-2674
Mailing address
103 FOX DEN CT, CARY, NC 27513-9100
(614) 519-2024
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
CP035261T
TX
225100000X
Physical Therapist
CP035281T
NJ
225100000X
Physical Therapist
CP035282T
NH
225100000X
Physical Therapist
CP037185T
TN
225100000X
Physical Therapist
Primary
P23013
NC
225100000X
Physical Therapist
PT36121
FL
Other
Enumeration date
08/19/2020
Last updated
04/07/2025
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