Individual
ELIZABETH LEANNE LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1242 CASA GRANDE ST, AMARILLO, TX 79118-2024
(806) 690-7041
Mailing address
1242 CASA GRANDE ST, AMARILLO, TX 79118-2024
(806) 690-7041
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2006573
TX
Other
Enumeration date
03/27/2021
Last updated
03/27/2021
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