| Doctor Name: | ERIN PIROUTEK LOGAN |
| NPI Number: | 1659300580 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 070015769 |
| Business Practice Address: | 109 Lanter Ct Collinsville, IL - 622346124 |
| Business Phone Number: | 6183431122 |
| Business Fax Number: | 6183431444 |
| Mailing Address: | Po Box 359, GOSHEN |
| State: | NY |
| Postal Code: | 109240359 |
| Phone Number: | 8456151585 |
| Fax Number: | 8456151576 |
| NPI Enumeration Date: | 07/02/2006 |
| NPI Last Update Date: | 06/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 070015769 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| 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 |