Individual
MR. JUAN JOSE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
10438 IRON BRIDGE RD, CHESTER, VA 23831-1427
(804) 796-1518
Mailing address
10438 IRON BRIDGE RD, CHESTER, VA 23831-1427
(804) 796-1518
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305212165
VA
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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