Individual
MR. JOANNY EZEKIEL JAMES DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RT
Contact information
Practice address
204 S FRONT ST, LEMOYNE, PA 17043
(717) 547-5407
(800) 858-4155
Mailing address
204 S FRONT ST, LEMOYNE, PA 17043-1100
(717) 547-5407
(800) 858-4155
Taxonomy
Speciality
Code
Description
License number
State
225B00000X
Pulmonary Function Technologist
—
—
225C00000X
Rehabilitation Counselor
—
—
2278H0200X
Home Health Certified Respiratory Therapist
—
—
227900000X
Registered Respiratory Therapist
—
—
2279C0205X
Critical Care Registered Respiratory Therapist
—
—
2279E0002X
Emergency Care Registered Respiratory Therapist
—
—
2279E1000X
Educational Registered Respiratory Therapist
—
—
2279G0305X
Geriatric Care Registered Respiratory Therapist
—
—
2279G1100X
General Care Registered Respiratory Therapist
—
—
2279P1004X
Pulmonary Diagnostics Registered Respiratory Therapist
—
—
2279P1005X
Pulmonary Rehabilitation Registered Respiratory Therapist
—
—
2279P1006X
Pulmonary Function Technologist Registered Respiratory Therapist
—
—
2279P3800X
Palliative/Hospice Registered Respiratory Therapist
—
—
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
—
—
251E00000X
Home Health Agency
Primary
07030501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
YM014666
—
PA
Enumeration date
11/10/2015
Last updated
06/11/2019
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