Organization
BRAD E LOGAN
Active
Other names
In-Home Therapy of Austin Texas
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD EDWARD LOGAN MPT (PHYSICAL THERAPIST)
(512) 745-4106
Entity
Organization
Contact information
Practice address
7500 ORRICK DR, AUSTIN, TX 78749-2607
(512) 745-4106
(512) 697-8459
Mailing address
7500 ORRICK DR, AUSTIN, TX 78749-2607
(512) 745-4106
(512) 697-8459
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1141869
TX
Other
Enumeration date
05/26/2007
Last updated
07/15/2010
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