Individual
BRENDA MARIE LOGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
802 E US HIGHWAY 20, MICHIGAN CITY, IN 46360-7424
(219) 861-3121
Mailing address
203 TRUESDELL AVE, LA PORTE, IN 46350-3043
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003952A
IN
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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