Individual
LOGAN HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13800 METCALF AVE, OVERLAND PARK, KS 66223-1200
(800) 989-0525
Mailing address
13800 METCALF AVE, OVERLAND PARK, KS 66223-1200
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
11-05142
KS
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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