SUZANNE E LOGAN

DECATUR, IL
NPI1629333554
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160002521)
Enumeration Date2012-07-06
Last Update Date2012-07-06
Business Address
MRS. SUZANNE E LOGAN PTA
2300 N EDWARD ST
DECATUR, IL 62526-4163
Phone number: 217-876-2690
Mailing Address
MRS. SUZANNE E LOGAN PTA
2300 N EDWARD ST
DECATUR, IL 62526-4163
Phone number:
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