CHARLES R ACEVEDO PT

LOGAN PHYSICAL THERAPY PC

Dr CHARLES R ACEVEDO PT is a male medical professional, specializing in Physical Therapy. He graduated in 1991.

Contact

LOGAN PHYSICAL THERAPY PC

2310 N 400 E C
NORTH LOGAN
UT
843411743

Tel: 4357525200

CHARLES R ACEVEDO PT Information

Npi 1134239254
Pac Id 1355396235
Professional Enrollment Id I20050314000559
Last Name ACEVEDO
First Name CHARLES
Middle Name R
Suffix
Gender M
Credential PT
Medical School Name OTHER
Graduation Year 1991
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name LOGAN PHYSICAL THERAPY PC
Group Practice Pac Id 2062465131
Number Of Group Practice Members 4
Line 1 Street Address 2310 N 400 E C
Line 2 Street Address
Marker Of Address Line 2 Suppression
City NORTH LOGAN
State UT
Zip Code 843411743
Phone Number 4357525200
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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