LOGAN RUSSELL

ROANOKE, VA
NPI1407472517
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: VA  2305207787)
Enumeration Date2020-06-24
Last Update Date2020-06-24
Business Address
LOGAN RUSSELL PT, DPT
3656 PETERS CREEK ROAD EXT SW # B
ROANOKE, VA 24018-1512
Phone number: 540-798-1579
Mailing Address
LOGAN RUSSELL PT, DPT
3656 PETERS CREEK ROAD EXT SW # B
ROANOKE, VA 24018-1512
Phone number:
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