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1841537792
DEREK ALEXANDER LOGAN
ARLINGTON, MA
NPI
1841537792
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MA 15175)
Enumeration Date
2013-01-12
Last Update Date
2013-01-12
Business Address
Mr. DEREK ALEXANDER LOGAN RPT
46 COLONIAL DR
ARLINGTON, MA 02474-8281
Phone number: 617-256-9074
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Mailing Address
Mr. DEREK ALEXANDER LOGAN RPT
46 COLONIAL DR
ARLINGTON, MA 02474-8281
Phone number: 617-256-9074
Copy
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