Individual
LOGAN SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3750 VETERANS MEMORIAL BLVD STE 60, METAIRIE, LA 70002-5825
(504) 900-1411
Mailing address
6569 WUERPEL ST, NEW ORLEANS, LA 70124-2252
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09979
LA
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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