Individual
LOGAN WOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 OAKWOOD DR STE B, MADISON HEIGHTS, VA 24572-3001
(434) 845-5641
(434) 509-1695
Mailing address
20347 TIMBERLAKE RD STE B, LYNCHBURG, VA 24502-7352
(434) 845-5641
(434) 509-1695
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305213619
VA
Other
Enumeration date
05/06/2020
Last updated
06/11/2020
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