Individual
BRADFORD DANIEL LOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 CLEAVER FARMS RD STE 1, MIDDLETOWN, DE 19709-1670
(302) 449-2048
(302) 449-2047
Mailing address
1050 INDUSTRIAL RD STE 210, MIDDLETOWN, DE 19709-2803
(302) 449-2048
(302) 449-2047
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0004034
DE
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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