Individual
ALYSSA NICOLE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5401 LA CROSSE AVE STE 101, AUSTIN, TX 78739-2160
(512) 852-8134
(512) 852-8143
Mailing address
1200 ESTANCIA PKWY APT 336, AUSTIN, TX 78748-2446
(254) 258-9272
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2178755
TX
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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