Alyssa Logan
Physical Therapist - Pediatrics
5422 E County Road 600 S
Plainfield
, Indiana 46168-8638
Alyssa Logan
Physical Therapist - Pediatrics
5422 E County Road 600 S
Plainfield
, Indiana 46168-8638
(317) 836-5484
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About
Features
Specialties
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Alyssa Logan
- 5422 E County Road 600 S
- Plainfield, IN
- Zip : 46168-8638
- Phone : (317) 836-5484
Second Address
- Alyssa Logan
- 5422 E County Road 600 S
- Plainfield, IN
- Zip : 46168-8638
- Phone : (317) 836-5484
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What type of doctor is Alyssa Logan
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Is Alyssa Logan a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251P0200X | Physical Therapist - Pediatrics | 05013760A | IN |
National Provider Identifier
| NPI | 1003421389 |
|---|---|
| Provider Name | Alyssa Logan |
| First Address | Plainfield, IN 46168-8638 |
| Second Address | Plainfield, IN 46168-8638 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/09/2020 |
| Last Update Date | 13/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.