LOGAN A LUCAS

FORT WAYNE, IN
NPI1023662830
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05013336A)
Enumeration Date2019-07-30
Last Update Date2020-12-28
Business Address
LOGAN A LUCAS PT
11143 PARKVIEW PLAZA DR STE 100
FORT WAYNE, IN 46845-1728
Phone number: 260-266-7400
Mailing Address
LOGAN A LUCAS PT
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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