Individual
MR. IAN MONTANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
18465 S DIXIE HWY, CUTLER BAY, FL 33157-6815
(786) 293-6800
Mailing address
16313 SW 103RD TER, MIAMI, FL 33196-5879
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
26438
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA26438
PTA LICENSE
FL
Enumeration date
07/31/2019
Last updated
07/31/2019
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