Individual
LOGAN JAMES JOHNSTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
15291 NW 60TH AVE STE 101, MIAMI LAKES, FL 33014-2459
(305) 705-7702
Mailing address
2850 NE 55TH PL, FORT LAUDERDALE, FL 33308-3456
(859) 699-0018
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
17695
FL
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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