Individual
SHARON M LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
18 RIVERVIEW DR, PLAINS, PA 18705-1529
(570) 824-2030
Mailing address
18 RIVERVIEW DR, PLAINS, PA 18705-1529
(570) 824-2030
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG003976
PA
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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