Individual
MRS. LORRAINE M DIAZ
Active
Individual
MRS. LORRAINE M DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
002268
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080002268CT02
BLUE CROSS PROVIDER #
CT
Enumeration date
10/17/2006
Last updated
01/15/2019
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