Individual
REBECCA LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1000 METHODIST OAKS DR, ORANGEBURG, SC 29115-1815
(304) 549-2751
Mailing address
4901 DAYBREAK CIR, COLORADO SPRINGS, CO 80917-2661
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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