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1619443801
LOGAN THORP
MADISON, WI
NPI
1619443801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 14411)
Enumeration Date
2018-10-16
Last Update Date
2018-10-16
Business Address
LOGAN THORP DPT
5565 TANCHO DR
MADISON, WI 53718-1901
Phone number: 608-230-4681
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Mailing Address
LOGAN THORP DPT
5565 TANCHO DR
MADISON, WI 53718-1901
Phone number: 608-230-4681
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