Individual
BRAD DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
15200 LA PALOMA WAY, REDDING, CA 96001-9525
(530) 440-2047
Mailing address
15200 LA PALOMA WAY, REDDING, CA 96001-9525
(530) 440-2047
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9653
CA
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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