Individual
LOGAN E BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6606 E CARONDELET DR, TUCSON, AZ 85710-2119
(520) 296-8513
Mailing address
6606 E CARONDELET DR, TUCSON, AZ 85710-2119
(520) 296-8513
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
11949APTA
AZ
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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