Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LOGAN MICHAEL BEN-EZRA, PT, DPT, CSCS
Active Sole ProprietorLOGAN MICHAEL BEN-EZRA, PT, DPT, CSCS is a Physical Therapy Assistant healthcare provider located in WOODBRIDGE, Virginia. NPI 1316756307 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · WOODBRIDGE, VA
Registration Details
- NPI Number
- 1316756307
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 3, 2025 (1.568427227182 yrs)
- Last Updated
- Jan 3, 2025
- License
-
070.027620 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14605 POTOMAC BRANCH DR STE 300WOODBRIDGE, VA, 221913337Browse VA providers · Browse ZIP 22191
- Phone
- 7034901112
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in WOODBRIDGE, VA
| Name | Credential | NPI |
|---|---|---|
| CHRISTOPHER GREETHAM | PT | 1770588238 |
| ISABELLA GREETHAM | PT | 1629073184 |
| HADI FATHALIKHANI | PT | 1962407411 |
| EILEEN MYERS | PT | 1801897210 |
| TOSHA WINGER | PT | 1144221458 |
| JULIE M GIBSON | PT | 1033111059 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.