National Provider Identifier

William Logan

William Logan is listed in the NPPES registry with a primary specialty of Physical Therapist in Orchard Park, NY and a listed phone number of (716) 662-4955.

NPI 1215177886Orchard Park, NYPhysical Therapist

Profile Overview

NPI
1215177886
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
February 23, 2009
Last Updated
February 23, 2009

Practice Location

  • 3690 Southwestern Blvd
  • Orchard Park, NY 14127-1720

Phone: (716) 662-4955

Mailing Address

  • PO Box 428
  • Orchard Park, NY 14127-0428

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1215177886
Entity Type
Individual
Last Name
Logan
First Name
William
Mailing Street Address
PO Box 428
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-0428
Mailing Country
US
Mailing Phone
(716) 662-4955
Practice Street Address
3690 Southwestern Blvd
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-1720
Practice Country
US
Practice Phone
(716) 662-4955
Enumeration Date
February 23, 2009
Last Updated
February 23, 2009
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)