LOGAN CHANDLER BLAKE

DECATUR, AL
NPI1326786187
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AL  PTH10812)
Enumeration Date2022-05-23
Last Update Date2024-12-02
Business Address
LOGAN CHANDLER BLAKE PT, DPT
1111 KNIGHT ST SE
DECATUR, AL 35601-6501
Phone number: 256-973-1552
Mailing Address
LOGAN CHANDLER BLAKE PT, DPT
108 S FLORIDA ST
MOBILE, AL 36606-1927
Phone number: 251-501-2700
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