JOHNATHAN LAWRENCE LOGAN

CRANSTON, RI
NPI1790614519
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2026-05-18
Last Update Date2026-05-18
Business Address
JOHNATHAN LAWRENCE LOGAN
480 RESERVOIR AVE
CRANSTON, RI 02910-1729
Phone number: 410-270-2500
Mailing Address
JOHNATHAN LAWRENCE LOGAN
480 RESERVOIR AVE
CRANSTON, RI 02910-1729
Phone number:
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