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1295485050
TYLER LOGAN
BOWIE, MD
NPI
1295485050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 28248)
Enumeration Date
2022-03-25
Last Update Date
2022-03-25
Business Address
TYLER LOGAN DPT
12510 FAIRWOOD PKWY
BOWIE, MD 20720-6343
Phone number: 301-859-0003
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Mailing Address
TYLER LOGAN DPT
34 SHINING WILLOW WAY UNIT 307
LA PLATA, MD 20646-4224
Phone number: 301-818-6753
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