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1053369165
KENNETH GEORGE LOGUE
LANSDALE, PA
NPI
1053369165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT008640L)
Enumeration Date
2006-05-04
Last Update Date
2007-07-08
Business Address
Mr. KENNETH GEORGE LOGUE PT
1043 S BROAD ST
LANSDALE, PA 19446-5338
Phone number: 215-361-0322
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Mailing Address
Mr. KENNETH GEORGE LOGUE PT
362 UNION ST
DOYLESTOWN, PA 18901-3509
Phone number: 215-230-4517
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