MRS. Jennie Marie Logan, PTA

NPI #1235525841 in Winnsboro, Texas

Provider Information

NPI Number
1235525841
Entity Type
Individual
Name
MRS. Jennie Marie Logan, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Apr 9, 2015
Last Updated
Apr 9, 2015

Practice Location

Address
473 COUNTY ROAD SE 3370
State
Texas
ZIP Code
75494-5405
Phone
(903) 588-6384

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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