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Individual

LOGAN NICOLE MINTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
16838 E PALISADES BLVD STE B121, FOUNTAIN HILLS, AZ 85268-3789
(480) 837-2595
Mailing address
14287 N 87TH ST STE 220, SCOTTSDALE, AZ 85260-3698
(480) 937-1000

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
33932
AZ
225100000X
Physical Therapist
PT020255
OH

Other

Enumeration date
04/13/2023
Last updated
01/28/2025
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