Individual
DR. LOGAN STEWART WADDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
8135 BEECHMONT AVE, WEST 269, CINCINNATI, OH 45255-6138
(513) 368-5212
Mailing address
2614 ROYALWOODS CT, CINCINNATI, OH 45244-3655
(513) 368-5212
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015171
OH
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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