Individual
DELIA VANESSA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1255 BROAD ST STE 207, BLOOMFIELD, NJ 07003-3061
(973) 893-9300
(973) 893-0073
Mailing address
PO BOX 416495, BOSTON, MA 02241-5814
(631) 580-5200
(631) 760-8306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02005600
NJ
Other
Enumeration date
05/11/2021
Last updated
05/17/2021
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