Logan Vashon, PT | |
4 Main St # T-2, Newport, ME 04953-4156 | |
(207) 924-0077 | |
Not Available |
Full Name | Logan Vashon |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 4 Years |
Location | 4 Main St # T-2, Newport, Maine |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669071221 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT5753 (Maine) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sand Coast Rehab Physical Therapy Inc | 7315352911 | 75 |
Eugene Physical Therapy Llc | 0345221065 | 6 |
Provider Name | Ventura Orthopedics Medical Group Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1871547315 PECOS PAC ID: 2062312911 Enrollment ID: O20040615001871 |
Provider Name | Sand Coast Rehab Physical Therapy Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1639766603 PECOS PAC ID: 7315352911 Enrollment ID: O20210211003128 |
Mailing Address | Practice Location Address |
---|---|
Logan Vashon, PT 94 Main St, Gorham, ME 04038-1340 Ph: (207) 839-5860 | Logan Vashon, PT 4 Main St # T-2, Newport, ME 04953-4156 Ph: (207) 924-0077 |
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