Individual
LOGAN WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
727 SE MAIN ST STE 200, SIMPSONVILLE, SC 29681-3262
(864) 454-6670
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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