RICK D LOGAN

PORTAGE, IN
NPI1427248244
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05007663A)
Enumeration Date2007-07-27
Last Update Date2007-07-27
Business Address
-- RICK D LOGAN LPT
6040 LUTE RD
PORTAGE, IN 46368-5008
Phone number: 219-763-6858
Mailing Address
-- RICK D LOGAN LPT
242 MARCLIFFE DR N #2
VALPARAISO, IN 46385-8687
Phone number:
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