Logen K Harris, | |
10302 Prosperity Cir, Camby, IN 46113-9001 | |
(317) 548-4172 | |
Not Available |
Full Name | Logen K Harris |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 10302 Prosperity Cir, Camby, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023888351 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Athletico Ltd |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20110309000231 |
Mailing Address | Practice Location Address |
---|---|
Logen K Harris, 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-6200 | Logen K Harris, 10302 Prosperity Cir, Camby, IN 46113-9001 Ph: (317) 548-4172 |
Dr. Bethany Brown, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10701 Alliance Dr Ste D, Camby, IN 46113 Phone: 317-821-3740 Fax: 317-821-3750 | |
Kimberly Shrum, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10799 Alliance Dr, Camby, IN 46113 Phone: 317-855-6123 | |
Alexander Stavretis, Physical Therapist Medicare: Medicare Enrolled Practice Location: 10302 Prosperity Cir Ste 101, Camby, IN 46113 Phone: 317-548-4172 Fax: 317-548-8308 | |
Sue Ann Klinger, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10701 Alliance Dr, Suite D, Camby, IN 46113 Phone: 317-821-3740 Fax: 317-821-3750 | |
Lisa Jane Hinders, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10701 Alliance Dr Ste D, Camby, IN 46113 Phone: 317-821-3740 Fax: 317-821-3750 | |
Jewel Kristine Horton, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10701 Alliance Dr, Suite D, Camby, IN 46113 Phone: 317-821-3740 Fax: 317-821-3750 |