LOGAN LATVIS, PTA

PTA

Physical Therapy Assistant

NPI: 1447082789Individual

Specialties, Licenses & Credentials

Physical Therapy AssistantPrimary

Physical Therapy Assistant

Code: 225200000X

4159-19(WI)5502008461(MI)06006862A(IN)CP033283A(AZ)

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Contact & Hours

Address: CORNER OF RTE 12 AND, RTE 7
FORT DEFIANCE, AZ 86504
Phone: (928) 729-8000

Quick Facts

NPI: 1447082789
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 4
Locations: 1

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