Individual
BERTHA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
530 NE 15TH CT, APT. 5, FORT LAUDERDALE, FL 33304-1166
(786) 488-8739
Mailing address
530 NE 15TH CT, APT. 5, FORT LAUDERDALE, FL 33304-1166
(786) 488-8739
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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