DEREK ALEXANDER LOGAN

ARLINGTON, MA
NPI1841537792
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MA  15175)
Enumeration Date2013-01-12
Last Update Date2013-01-12
Business Address
Mr. DEREK ALEXANDER LOGAN RPT
46 COLONIAL DR
ARLINGTON, MA 02474-8281
Phone number: 617-256-9074
Mailing Address
Mr. DEREK ALEXANDER LOGAN RPT
46 COLONIAL DR
ARLINGTON, MA 02474-8281
Phone number: 617-256-9074