Logan Thomas Richardson, P.T.

NPI #1124372404 in Corvallis, Oregon

Provider Information

NPI Number
1124372404
Entity Type
Individual
Name
Logan Thomas Richardson, P.T.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
P.T.
Enumeration Date
Nov 7, 2012
Last Updated
Feb 18, 2013

Practice Location

Address
996 NW CIRCLE BLVD
Address 2
SUITE 101
State
Oregon
ZIP Code
97330-1485
Phone
(541) 757-0878

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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