# ELIZABETH LOGUE PHYSICAL THERAPY.INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548397474
- **Authorized official:** MS. ELIZABETH ANN LOGUE P. T. (PRESIDENT)
- **Authorized official phone:** (657) 464-9628

## Contact information

- **Practice address:** 121 19TH ST APT 15, HUNTINGTON BEACH, CA 92648-3945
- **Practice address phone:** (657) 464-9628
- **Practice address fax:** (714) 594-3830
- **Mailing address:** 121 19TH ST APT 15, HUNTINGTON BEACH, CA 92648-3945
- **Mailing address phone:** (657) 464-9628
- **Mailing address fax:** (714) 594-3830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251G0304X | Geriatric Physical Therapist | 21503 | CA | Yes |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 07/05/2011