Individual
LOURDES DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11517 SW 7TH TER, MIAMI, FL 33174-1033
(305) 742-7184
Mailing address
11517 SW 7TH TER, MIAMI, FL 33174-1033
(305) 742-7184
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25176
FL
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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