Individual
LOGAN NICOLE MINTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
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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