SearchVirginia225100000X

Logan Sebastian, DPT

NPI 1255887105 · on the registry since 2016 · sole proprietor

Practice

Address
209 Madison St Ste Ll2
Alexandria, VA 22314
Phone
(703) 299-6688
Organisation at this address
Fueled & Fed Nutrition
Elevation Ecotherapy Plc
Discovery Practice Management, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-21

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 Virginia