Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sophia Logan

Individual provider Physical Therapist · NPI 1053947523

Sophia Logan is a Physical Therapist in Plymouth, Michigan. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
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Practice location Address checks out

801 W Ann Arbor Trl Ste 220
Plymouth, MI 48170-6224
Phone: (866) 991-0900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT298155 (CA)

Record details

NPI number1053947523
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 17, 2020
Last updated in NPPESMarch 17, 2020
Certification dateMarch 17, 2020

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