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1104655844
LOGAN TEAGARDEN
CHARLOTTE, NC
NPI
1104655844
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1393059)
Enumeration Date
2024-07-31
Last Update Date
2024-08-13
Business Address
LOGAN TEAGARDEN PT, DPT
9908 COULOAK DR STE 100
CHARLOTTE, NC 28216-8678
Phone number: 704-801-3065
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Mailing Address
LOGAN TEAGARDEN PT, DPT
9908 COULOAK DR STE 100
CHARLOTTE, NC 28216-8678
Phone number: 563-370-7327
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