Individual
MR. MICHAEL DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2075 N GERMANTOWN PKWY, SUITE 108, CORDOVA, TN 38016-1729
(901) 246-6809
(901) 202-9088
Mailing address
1955 ADA CV, CORDOVA, TN 38016-3005
(901) 737-1483
(901) 737-1483
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3894
TN
Other
Enumeration date
02/13/2012
Last updated
02/13/2012
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