Shannon Logan in Palm Bay - Physical Therapist
Shannon Logan - NPI 1437268091
Shannon Logan is a Physical Therapist in Palm Bay, Florida. Shannon Logan practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Shannon Logan is 1437268091. The last update date is 2007-07-08.
Shannon Logan's current location address is 5200 Babcock St Ne Ste 401, Palm Bay, Florida. You can contact this provider via phone number 3219849606. The mailing address for Shannon Logan is 5200 Babcock St Ne Ste 401, Palm Bay, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Shannon Logan |
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Address | 5200 Babcock St Ne Ste 401, Palm Bay, Florida |
Phone Number | 3219849606 |
Fax Number | |
Sole Proprietor | N |
Credentials | -- |
NPI Number Detail
NPI Number | 1437268091 |
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Provider Enumeration Date | 2006-08-29 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 5200 Babcock St Ne Ste 401 |
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City | Palm Bay |
State | Florida (FL) |
Post Code | 329054650 |
Phone Number | 3219849606 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physical Therapist |
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Taxonomy | 225100000X |
Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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PT20279 | FL | LICENSE # |
Post Comment/ Review Below
What is the unique provider identifier assigned to Shannon Logan?
The Shannon Logan has been issued the NPI (National Provider Identifier) 1437268091 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Shannon Logan is physically located?
The Shannon Logan is physically situated at the following address: 5200 Babcock St Ne Ste 401, Palm Bay, FL, 329054650.
What is Shannon Logan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shannon Logan is Physical Therapist, and the taxonomy classification code that categorizes this area of expertise is 225100000X.
When was the Shannon Logan's 1437268091 issued?
The Shannon Logan's 1437268091 was issued on 2006-08-29.
When was the information regarding Shannon Logan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Shannon Logan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY