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Individual

MRS. BETHZAIDA DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.A.

Contact information

Practice address
333 TAMIAMI TRL S, SUITE 207, VENICE, FL 34285-2402
(941) 484-2471
(941) 484-5487
Mailing address
233 WOODINGHAM LN, VENICE, FL 34292-3929
(941) 493-9697
(941) 484-5487

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2088
FL

Other

Enumeration date
07/07/2006
Last updated
07/08/2007
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