Individual
LOGAN ROBERT NORDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1485 E FLORENCE BLVD STE 105, CASA GRANDE, AZ 85122-4797
(520) 494-3058
(520) 214-5059
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
AZ
225100000X
Physical Therapist
—
—
Other
Enumeration date
05/31/2019
Last updated
11/10/2023
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