Individual
LOGAN PHILIP BRETNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3820 S JONES BLVD, LAS VEGAS, NV 89103-2228
(702) 818-5000
(702) 818-5001
Mailing address
5751 E HACIENDA AVE UNIT 152, LAS VEGAS, NV 89122-0234
(310) 710-7752
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3603
NV
Other
Enumeration date
08/22/2017
Last updated
01/20/2021
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