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ROBERT MIGUEL DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
12808 N BLACK CANYON HWY, PHOENIX, AZ 85029-1346
(602) 375-1155
Mailing address
4728 N 15TH ST APT 142, PHOENIX, AZ 85014-3774
(520) 431-6341

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-31686
AZ

Other

Enumeration date
03/23/2021
Last updated
03/23/2021
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