Individual
CASSIE W LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1825 PLEASANT HILL RD, JASPER, GA 30143-3042
(706) 253-7232
Mailing address
1825 PLEASANT HILL RD, JASPER, GA 30143-3042
(706) 253-7232
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT004394
GA
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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