Individual
SARAH LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
40 ASHLEY AVE, GLENBURN, ME 04401-1249
(207) 478-0443
Mailing address
40 ASHLEY AVE, GLENBURN, ME 04401-1249
(207) 478-0443
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2157
ME
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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