Individual
CLARISSA K DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
13472 EASTLAKE BLVD, HORIZON CITY, TX 79928-7992
(915) 296-3005
(915) 296-3013
Mailing address
4758 LOMA DEL SUR DR, EL PASO, TX 79934-3597
(915) 755-6941
(915) 755-6941
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1367514
TX
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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