Individual
LOGAN VASHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
8820 E BROADWAY BLVD, TUCSON, AZ 85710-4035
(520) 829-7741
Mailing address
94 MAIN ST, GORHAM, ME 04038-1340
(207) 839-5860
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5753
ME
Other
Enumeration date
10/23/2020
Last updated
01/27/2025
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