Individual
JAVIER DIAZ PROENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
15002 HUTCHISON RD, TAMPA, FL 33625-5502
(813) 960-1969
(813) 960-8510
Mailing address
8263 MALVERN CIR, TAMPA, FL 33634-2242
(786) 403-6564
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA31993
FL
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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