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1396754487
BRAD EDWARD LOGAN
AUSTIN, TX
NPI
1396754487
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1141869)
Enumeration Date
2006-08-06
Last Update Date
2024-11-08
Business Address
BRAD EDWARD LOGAN MPT
9900 S INTERSTATE 35 STE P-375
AUSTIN, TX 78748-3885
Phone number: 512-580-3006
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Mailing Address
BRAD EDWARD LOGAN MPT
1200 CORPORATE DR STE 400
HOOVER, AL 35242-5424
Phone number: 423-238-7217
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