Individual
LOGAN J LUKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
6729 NW 39TH EXPY FL 3, BETHANY, OK 73008-2605
(405) 981-4001
Mailing address
808 COLES CRK, YUKON, OK 73099-2363
(405) 600-5100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6171
OK
Other
Enumeration date
05/09/2022
Last updated
06/12/2022
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