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Individual

XIOMARA I DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
B.SC.P.T.

Contact information

Practice address
709 KEENESBURG CT, FORT COLLINS, CO 80525-8270
(970) 412-9314
Mailing address
709 KEENESBURG CT, FORT COLLINS, CO 80525-8270
(970) 412-9314

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
4747
CO
2251X0800X
Orthopedic Physical Therapist
4747
CO

Other

Enumeration date
05/14/2013
Last updated
10/10/2017
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