Individual
MRS. LORETA AVINANTE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3623 KEYSTONE HILLS DRIVE, EVANSVILLE, IN 47711-2296
(812) 475-0864
(812) 475-0864
Mailing address
3623 KEYSTONE HILLS DRIVE, EVANSVILLE, IN 47711-2296
(812) 475-0864
(812) 475-0864
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05003390A
IN
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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