Individual
MS. RAISA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 WESTWARD DR STE 103, MIAMI SPRINGS, FL 33166-5211
(305) 290-0622
Mailing address
6360 W 22ND LN, HIALEAH, FL 33016-3925
(305) 318-8178
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA29934
FL
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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