Individual
MR. JONATHAN MARTIN DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 WOOTTON ST STE J, BOONTON, NJ 07005-1900
(973) 794-6040
Mailing address
71 MOUNTAIN AVE, HALEDON, NJ 07508-1666
(973) 897-6496
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00378400
NJ
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
10/27/2022
Last updated
05/14/2025
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