Individual
VICTORIA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1588 W CAYUSE CREEK DR # 110, MERIDIAN, ID 83646-4795
(208) 515-7575
Mailing address
PO BOX 1806, DURHAM, NC 27702-1806
(216) 772-1030
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8231
ID
Other
Enumeration date
08/23/2022
Last updated
11/06/2025
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