Individual
BARBARA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2619 SW 147 AVENUE, MIAMI, FL 33185
(305) 207-0602
Mailing address
4900 SW 89 PLACE, MIAMI, FL 33165
(305) 207-0602
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT27776
FL
Other
Enumeration date
10/10/2012
Last updated
11/08/2012
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