LOGAN BUSH

OKLAHOMA CITY, OK
NPI1346061116
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OK  3857)
Enumeration Date2024-10-23
Last Update Date2024-10-23
Business Address
LOGAN BUSH PTA
9210 S WESTERN AVE STE 27
OKLAHOMA CITY, OK 73139-2734
Phone number: 405-692-6333
Mailing Address
LOGAN BUSH PTA
1044 SHADOWLAKE RD
NORMAN, OK 73071-6877
Phone number: 918-457-7521
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