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Michael Anthony Logan
Rehabilitation Practitioner in Culver City, California
NPI 1184020620

Michael Anthony Logan is a Rehabilitation Practitioner based in Culver City, CA. Michael Anthony Logan practices in Culver City, CA. The NPI Number for Michael Anthony Logan is 1184020620 and holds a License No. (California).

The current practice location address for Michael Anthony Logan is 9808 Venice Blvd Ste 700, Culver City, CA and can be reached out via phone at 310-945-3550 and via fax at 310-945-3356.

Location: 9808 Venice Blvd Ste 700, Culver City, CA, 90232-6824
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184020620
Provider Name
Michael Anthony Logan
Credential
Provider Entity Type
Individual
Gender
Male
Address
9808 Venice Blvd Ste 700, Culver City, CA, 90232-6824
Phone Number
310-945-3550
Fax Number
310-945-3356
Provider Enumeration Date
11/11/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9808 Venice Blvd Ste 700
City
Culver City
State
California
Zip
90232-6824
Phone Number
310-945-3550
Fax Number
310-945-3356
person
Provider Business Mailing Address Details
Address
9808 Venice Blvd Ste 700
City
Culver City
State
California
Zip
90232-6824
Phone Number
310-945-3550
Fax Number
310-945-3356
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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