Individual
ASSANTE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9390 THE LANDING DR STE 201, DOUGLASVILLE, GA 30135-7180
(770) 852-1692
Mailing address
106 ROUNDABOUT CIR, SEARCY, AR 72143-5957
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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