Individual
MICHAEL DIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15341 CENTRAL AVE, CHINO, CA 91710-7608
(909) 606-8220
Mailing address
1919 VIA JUSTINO, SAN DIMAS, CA 91773-3960
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
47943
CA
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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