Individual
MR. BRIAN DAVID DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.P.T.
Contact information
Practice address
4221 GARRETT RD STE 2, ACTIVEDGE FITNESS & SPORTS PERFORMANCE, DURHAM, NC 27707-3467
(919) 493-1204
(919) 493-1204
Mailing address
4221 GARRETT RD STE 2, ACTIVEDGE FITNESS & SPORTS PERFORMANCE, DURHAM, NC 27707-3467
(919) 493-1204
(919) 493-1204
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P8453
NC
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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