LOGAN BROACHE

MECHANICSVILLE, VA
NPI1790511087
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VA  2306606622)
Enumeration Date2024-09-12
Last Update Date2024-09-12
Business Address
LOGAN BROACHE
7600 AUTUMN PARK WAY
MECHANICSVILLE, VA 23116-3868
Phone number: 804-730-0009
Mailing Address
LOGAN BROACHE
9499 ANDREW WICKHAM LN
ASHLAND, VA 23005-7666
Phone number:
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