MISS Lara Logan, PTA
NPI #1346241171 in Bryn Mawr, Pennsylvania
Provider Information
- NPI Number
- 1346241171
- Entity Type
- Individual
- Name
- MISS Lara Logan, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Aug 2, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 919 CONESTOGA RD
- Address 2
- BUILDING 3, SUITE 114
- City
- Bryn Mawr
- State
- Pennsylvania
- ZIP Code
- 19010-1352
- Phone
- (610) 527-0178
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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