Amber Lee Logan, DPT

NPI #1235865171 in Shiprock, New Mexico

Provider Information

NPI Number: 1235865171
Entity Type: Individual
Name: Amber Lee Logan, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jul 25, 2022
Last Updated: Jul 25, 2022

Practice Location

Address: US-491
City: Shiprock
State: New Mexico
ZIP Code: 87420
Phone: (505) 368-6001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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