Individual
LIZANDRA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
17309 NW 63RD AVE, HIALEAH, FL 33015-4470
(305) 773-1174
Mailing address
17309 NW 63RD AVE, HIALEAH, FL 33015-4470
(305) 773-1174
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28424
FL
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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