Individual
MRS. JODY LOGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
HC 60 BOX 98, THOMAS, WV 26292-9704
(304) 463-4181
(304) 463-4190
Mailing address
HC 60 BOX 98, THOMAS, WV 26292-9704
(304) 463-4181
(304) 463-4190
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002147
WV
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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