Individual
TYLER AARON LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 S TELEPHONE RD, MOORE, OK 73160
(405) 912-3055
Mailing address
700 S TELEPHONE RD, MOORE, OK 73160
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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