MR. Kenneth George Logue JR., PT

NPI #1053369165 in Lansdale, Pennsylvania

Provider Information

NPI Number: 1053369165
Entity Type: Individual
Name: MR. Kenneth George Logue JR., PT
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: May 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1043 S BROAD ST
City: Lansdale
State: Pennsylvania
ZIP Code: 19446-5338
Phone: (215) 361-0322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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