Individual
LOGAN KUCGINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2425 PRINCE ST STE 3, CONWAY, AR 72034-3701
(501) 733-3037
Mailing address
2425 PRINCE ST STE 3, CONWAY, AR 72034-3701
(501) 733-3037
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4690
AR
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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