LOGAN JERALD DEWHITT

FAYETTEVILLE, AR
NPI1114574142
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AR  PT4706)
Enumeration Date2019-08-23
Last Update Date2019-08-23
Business Address
LOGAN JERALD DEWHITT DPT
3317 N WIMBERLY DR FL 2
FAYETTEVILLE, AR 72703-4056
Phone number: 795-873-1174
Mailing Address
LOGAN JERALD DEWHITT DPT
3317 N WIMBERLY DR FL 2
FAYETTEVILLE, AR 72703-4056
Phone number: 795-873-1174
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