Individual
LORI A DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1288 W. EASTERBROOK DR, PECOS, TX 79772
(432) 287-0422
Mailing address
1288 W. EASTERBROOK DR, PECOS, TX 79772
(432) 287-0422
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1297640
TX
2251X0800X
Orthopedic Physical Therapist
4159
NM
Other
Enumeration date
09/10/2012
Last updated
06/02/2023
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