Individual
ALEJANDRO DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5900 S LAKE DR LOWR LEVEL, CUDAHY, WI 53110-3171
(414) 489-4072
Mailing address
6134 S SWIFT AVE, CUDAHY, WI 53110-3206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1685524
WI
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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