| Doctor Name: | HOLLY MAURINE LOGAN |
| NPI Number: | 1053524074 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S.P.T. |
| License Number: | 5177 |
| Business Practice Address: | 1601 W. St. Mary's Road Tucson, AZ - 85745 |
| Business Phone Number: | 5208724107 |
| Business Fax Number: | |
| Mailing Address: | 6890 E. Sunrise Dr Suite 120-353, TUCSON |
| State: | AZ |
| Postal Code: | 85750 |
| Phone Number: | 9703901594 |
| Fax Number: | |
| NPI Enumeration Date: | 05/07/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5177 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |