Individual
LOGAN FLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7710 N COUNTY ROAD 400 E, FRANKFORT, IN 46041-7939
(765) 242-9139
Mailing address
7710 N COUNTY ROAD 400 E, FRANKFORT, IN 46041-7939
(765) 242-9139
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
29001910A
IN
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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