Organization
ELIZABETH LOGUE PHYSICAL THERAPY.INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH ANN LOGUE P. T. (PRESIDENT)
(657) 464-9628
Entity
Organization
Contact information
Practice address
121 19TH ST APT 15, HUNTINGTON BEACH, CA 92648-3945
(657) 464-9628
(714) 594-3830
Mailing address
121 19TH ST APT 15, HUNTINGTON BEACH, CA 92648-3945
(657) 464-9628
(714) 594-3830
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
21503
CA
Other
Enumeration date
02/27/2007
Last updated
07/05/2011
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