| NPI | 1194141820 |
|---|---|
| Former Name | LOGAN WINEGAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 12509010-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1240459) |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2024-10-11 |