Individual
MYLES LUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1826 N CRYSTAL LAKE DR, LAKELAND, FL 33801-5905
(813) 876-8771
Mailing address
1826 N CRYSTAL LAKE DR, LAKELAND, FL 33801-5905
(813) 876-8771
(813) 333-5414
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
33993
FL
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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