Provider Demographics
NPI:1295855062
Name:LOGUE, GEORGE FRANCIS (PT)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:FRANCIS
Last Name:LOGUE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 HICKORY LN
Mailing Address - Street 2:
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914-2013
Mailing Address - Country:US
Mailing Address - Phone:215-822-6442
Mailing Address - Fax:
Practice Address - Street 1:6 HICKORY LN
Practice Address - Street 2:
Practice Address - City:CHALFONT
Practice Address - State:PA
Practice Address - Zip Code:18914-2013
Practice Address - Country:US
Practice Address - Phone:215-822-6442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT002123L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist