Doctor Name: | MR. KENNETH GEORGE LOGUE |
NPI Number: | 1053369165 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT008640L |
Business Practice Address: | 1043 S Broad St Lansdale, PA - 194465338 |
Business Phone Number: | 2153610322 |
Business Fax Number: | 2153618719 |
Mailing Address: | 362 Union St, DOYLESTOWN |
State: | PA |
Postal Code: | 189013509 |
Phone Number: | 2152304517 |
Fax Number: | |
NPI Enumeration Date: | 05/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT008640L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |