Individual
LOGAN HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1190 E MISSOURI AVE STE 100, PHOENIX, AZ 85014-2719
(602) 393-0520
Mailing address
1737 W BERRIDGE LN, PHOENIX, AZ 85015-2060
(602) 541-1715
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
AZ
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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