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Search › Arizona › 225200000X

Logan Southwell, PTA

NPI 1225750300 · on the registry since 2022

Practice

Address
4141 N S Herrera Way
Phoenix, AZ 85012
Phone
(602) 248-1550
Organisation at this address
State Of Arizona State Dept Of Finance
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-09-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona