Amy Jo Logan PTA

NPI 1710391305 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1710391305
Gender Female
Enumeration Date 06/11/2014
Last Updated 06/11/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
3525 E HANNA AVE
INDIANAPOLIS IN, 46237-1230, US
Phone (317) 788-4261
Fax
Business Location
118 MEDICAL DR # 46032
CARMEL IN, 46032-2923, US
Phone
Fax
Toxanomy
Taxonomy Code 225200000X
License State Indiana
License Number 06004052A
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According to our database, Mrs. Amy Jo Logan PTA NPI is 1710391305, taxonomy code is 225200000X and license number is 06004052A, license state is located at Indiana. Amy Jo Logan PTA physically located at 3525 E Hanna Ave, Indianapolis IN, 46237-1230. NPI Number Amy Jo Logan PTA has the Individual type.

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1710391305 NPI number is provided on an as is basis without warranty of any kind. 1710391305 is maintained by the National Plan & Provider Enumeration System. The contents of Amy Jo Logan PTA are for informational purposes only.