Individual
LOGAN ARDEN KANODE
Active
Individual
LOGAN ARDEN KANODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CWC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4234
NM
225100000X
Physical Therapist
PT4234
NM
Other
Enumeration date
11/15/2012
Last updated
10/29/2020
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