Organization
LIBERTY ENTERPRISES, LLC
Active
Organization
LIBERTY ENTERPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS RONALD DIAZ PT (PT)
(509) 431-8943
Entity
Organization
Contact information
Practice address
5227 ROAD K NE, MOSES LAKE, WA 98837-9038
(509) 431-8943
Mailing address
5227 ROAD K NE, MOSES LAKE, WA 98837-9038
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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