Individual
JULIE A DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
45 W 45TH ST, NEW YORK, NY 10036-4602
(877) 438-9335
Mailing address
452 E 119TH ST APT 5B, NEW YORK, NY 10035-3657
(917) 428-9771
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01146700
NJ
Other
Enumeration date
02/21/2021
Last updated
02/21/2021
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