SearchNew Jersey225100000X

Shaun Logan, DPT

NPI 1750686218 · on the registry since 2011 · sole proprietor

Practice

Address
90 Goodwin Pkwy
Sewell, NJ 08080
Phone
(856) 889-6589
Fax
(856) 888-9658

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-08-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey