Individual
LOGAN MITCHELL MONTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
11754 MARTIN LUTHER KING BLVD E # JR, SEFFNER, FL 33584-4923
(813) 597-9242
Mailing address
5905 BROWDER RD, TAMPA, FL 33625-4128
(813) 597-9242
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
33356
FL
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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