Individual provider · Type 1 NPI

Kendrick Wayne Logan

Rehabilitation Practitioner · Colton, CA

NPI number 1053190975 Active

Practice location

1330 E Cooley Dr
Colton, CA 92324-3905

Call (909) 580-3734 Map

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1053190975

Kendrick Wayne Logan's National Provider Identifier is 1053190975, issued on Sep 28, 2023. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Colton, CA. The record was last updated on May 12, 2025.