Logan Hines
Logan Hines is a Physical Therapist in Private Practice in Phoenix, Arizona. Qualified in 2023, 3 years ago. Practices with Rww Outpatient Rehab Services, LLC, a 106-clinician group and accepts Medicare assignment. Licensed in Arizona.
- Years since qualifying
- 3
- Licensed in
- AZ
- In the registry since
- 2024
Practice location Address checks out
1190 E Missouri Ave Ste 100Phoenix, AZ 85014-2719
Phone: (602) 393-0520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X (AZ) |
|---|
Record details
| NPI number | 1649040882 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 8, 2024 |
| Last updated in NPPES | January 8, 2024 |
| Certification date | January 8, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Rww Outpatient Rehab Services, Llc — 106 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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