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Individual

MICHELLE LOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
101 W MAIN ST, EASLEY, SC 29640-2038
(864) 307-9198
Mailing address
101 W MAIN ST, EASLEY, SC 29640-2038
(864) 307-9198

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12896
SC

Other

Enumeration date
12/11/2025
Last updated
12/11/2025
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