Individual
JAMES MICHAEL LOGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6431 MAHONING AVE, AUSTINTOWN, OH 44515-2039
(330) 719-6284
Mailing address
6431 MAHONING AVE, AUSTINTOWN, OH 44515-2039
(330) 719-6284
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT004922
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871613281
—
OH
05
—
2577162
—
OH
Enumeration date
03/30/2007
Last updated
03/24/2022
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