LOGAN TENNANT

BRIDGEPORT, WV
NPI1992552418
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WV  PTA002682)
Enumeration Date2024-05-02
Last Update Date2024-05-02
Business Address
LOGAN TENNANT
37 GRANDE MEADOWS DR
BRIDGEPORT, WV 26330-9035
Phone number: 304-592-3538
Mailing Address
LOGAN TENNANT
37 GRANDE MEADOWS DR
BRIDGEPORT, WV 26330-9035
Phone number:
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