Individual
MS. EILEEN REILLY DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T., R.N.
Contact information
Practice address
51 OAKWOOD AVE, UPPER MONTCLAIR, NJ 07043-1916
(973) 744-1680
(973) 655-0971
Mailing address
51 OAKWOOD AVE, UPPER MONTCLAIR, NJ 07043-1916
(973) 744-1680
(973) 655-0971
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00498800
NJ
2251H1300X
Human Factors Physical Therapist
40QA00498800
NJ
Other
Enumeration date
05/12/2008
Last updated
05/12/2008
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