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Individual

CHRISTIAN M DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
2311 COTTMAN AVE, PHILADELPHIA, PA 19149-1007
(215) 331-3414
Mailing address
304 MCKEAN ST, PHILADELPHIA, PA 19148-2630

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT022736
PA

Other

Enumeration date
10/01/2013
Last updated
10/01/2013
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