Individual
MR. LOGAN WILLIAM TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1630 EAST BRADFORD PARKWAY, SUITE E, SPRINGFIELD, MO 65804-6513
(417) 881-2900
(417) 881-2918
Mailing address
1630 EAST BRADFORD PARKWAY, SUITE E, SPRINGFIELD, MO 65804-6513
(417) 881-2900
(417) 881-2918
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2023032902
MO
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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