Individual
LOGAN ELIZABETH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
36 S MAIN ST STE B, TRAVELERS REST, SC 29690-1872
(864) 660-8200
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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