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1073654778
TINA M LOGAN
JASPER, AL
NPI
1073654778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AL PTH 3715)
Enumeration Date
2007-02-08
Last Update Date
2023-09-21
Business Address
TINA M LOGAN RPT
2555 HIGHWAY 78 E
JASPER, AL 35501-3433
Phone number: 205-385-7919
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Mailing Address
TINA M LOGAN RPT
1200 CORPORATE DR STE 400
HOOVER, AL 35242-5424
Phone number: 423-238-7217
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