Individual
ALYSSA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1955 HUNTS LN, SAN BERNARDINO, CA 92408-3347
(909) 890-9030
Mailing address
6717 CATALINA DR, RIVERSIDE, CA 92504-1814
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10366
CA
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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