Individual
DIANA MARIA MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1545 ORCHARD VILLAS AVE, APEX, NC 27502-4338
(919) 954-4492
Mailing address
901 DALE CT SE, VIENNA, VA 22180-5826
(703) 943-6532
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P19158
NC
2255A2300X
Athletic Trainer
LAT-4934
NC
Other
Enumeration date
12/18/2018
Last updated
05/11/2022
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