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Individual

JAMES LOGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CTRS

Contact information

Practice address
24442 US HIGHWAY 281 N APT 1026, SAN ANTONIO, TX 78258-7233
(214) 994-6329
Mailing address
24442 US HIGHWAY 281 N APT 1026, SAN ANTONIO, TX 78258-7233
(214) 994-6329

Taxonomy

Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
69312
TX

Other

Enumeration date
12/17/2021
Last updated
12/17/2021
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