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Contact Information

ELIZABETH LOGUE PHYSICAL THERAPY.INC
121 19TH ST APT 15
HUNTINGTON BEACH, CA92648-3945
 Phone: 657-464-9628
 Fax: 714-594-3830
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ELIZABETH LOGUE PHYSICAL THERAPY.INC

NPI Number 1548397474
LBN Legal business name ELIZABETH LOGUE PHYSICAL THERAPY.INC
Authorized official ELIZABETH LOGUE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/27/2007
Last updated 07/05/2011 - About 15 years ago
Identifiers
CA License # 21503
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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