Brad E Logan

NPI #1780895946 in Austin, Texas

Provider Information

NPI Number
1780895946
Entity Type
Organization
Organization Name
Brad E Logan
Primary Specialty
Physical Therapist
Enumeration Date
May 26, 2007
Last Updated
Jul 15, 2010

Practice Location

Address
7500 ORRICK DR
City
Austin
State
Texas
ZIP Code
78749-2607
Phone
(512) 745-4106

Authorized Official

Name
BRAD EDWARD LOGAN, MPT
Title
PHYSICAL THERAPIST
Phone
(512) 745-4106

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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