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Individual

DORIAN FAYE LOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
2108 W 27TH ST STE K, LAWRENCE, KS 66047-3168
(785) 856-0173
(785) 856-0212
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-4915
(423) 238-7217
(423) 238-3473

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03844
KS

Other

Enumeration date
07/25/2008
Last updated
07/02/2019
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