AMBER LEE LOGAN

SHIPROCK, NM
NPI1235865171
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NM  PT6105)
Enumeration Date2022-07-25
Last Update Date2022-07-25
Business Address
AMBER LEE LOGAN DPT
US-491
SHIPROCK, NM 87420
Phone number: 505-368-6001
Mailing Address
AMBER LEE LOGAN DPT
10 PRIMROSE LN
LOS ALAMOS, NM 87544-1588
Phone number: 505-412-8617