Individual
LOGAN THORP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5565 TANCHO DR, MADISON, WI 53718-1901
(608) 230-4681
Mailing address
5565 TANCHO DR, MADISON, WI 53718-1901
(608) 230-4681
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14411
WI
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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