Individual
DIEGO DIAZ SAUSA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., DPT
Contact information
Practice address
14630 PALM BEACH BLVD, SUITE 6, FORT MYERS, FL 33905-2333
(239) 690-3100
(239) 693-3200
Mailing address
PO BOX 2565, FORT MYERS, FL 33902-2565
(239) 850-1891
(239) 561-1310
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 7037
FL
Other
Enumeration date
06/16/2006
Last updated
07/23/2014
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