NPI 1023447026
Theresa Logan, PTA
Practice location
- Address
- 18109 Prince Philip Dr STE 155, Olney, MD 20832-1591
- Phone
- (301) 260-3280
- Fax
- (301) 260-3279
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1023447026
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Nov 2013
- Record last updated
- 31 Jul 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.