Logan Raichle
NPI #1104609148 in Southport, North Carolina
Provider Information
- NPI Number
- 1104609148
- Entity Type
- Individual
- Name
- Logan Raichle
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Aug 15, 2023
- Last Updated
- Aug 15, 2023
Practice Location
- Address
- 5013 SOUTHPORT CROSSING WAY STE 204
- City
- Southport
- State
- North Carolina
- ZIP Code
- 28461-2206
- Phone
- (910) 604-9550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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