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NPI Code Detail

MEDICARE: TODD A LOGIC MPT

MEDICARE:   TODD A LOGIC  MPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT013389PA

General Provider Information

NPI Number : 1982695490
Entity Type Code : Individual
Provider Name (Legal Business Name) : TODD A LOGIC MPT
Provider Business Mailing Address
First Line : 676 DEKALB PIKE
Second Line : SUITE 205 APEX PHYSICAL THERAPY
City : BLUE BELL
State : PA
Zip : 19422-1223
Country : US
Telephone Number : 610-270-0370
Fax Number : 610-270-0374
Provider Business Practice Location Address
First Line : 341 10TH AVE
Second Line : SUITE 101
City : ROYERSFORD
State : PA
Zip : 19468-3806
Country : US
Telephone Number : 610-792-8100
Fax Number : 610-792-1535
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2005
Last Update Date : 07/08/2007

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Directions to “ TODD A LOGIC MPT” Practice Location

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