Individual
GARRETT LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2040 GAUSE BLVD E, SLIDELL, LA 70461-5453
(985) 875-2370
Mailing address
3801 CANAL BANK DR, SLIDELL, LA 70461-6644
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
10385
LA
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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