Individual
LOGAN JAMES COUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
590 S WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 587-7109
Mailing address
1083 E 3RD AVE APT 1, SALT LAKE CITY, UT 84103-4164
(910) 639-9572
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11807292-2401
UT
Other
Enumeration date
07/02/2020
Last updated
12/03/2021
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