LOGAN WALLACE

FAYETTEVILLE, AR
NPI1720798325
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2022-12-05
Last Update Date2026-02-02
Business Address
LOGAN WALLACE
1188 N SALEM RD STE 1
FAYETTEVILLE, AR 72704-8803
Phone number: 479-595-0474
Mailing Address
LOGAN WALLACE
2668 E CITIZENS DR STE 5
FAYETTEVILLE, AR 72703-4796
Phone number: 479-442-7473