JUAN MANUEL DIAZ

GLENVIEW, IL
NPI1346496718
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160004237)
Enumeration Date2008-08-17
Last Update Date2008-08-17
Business Address
-- JUAN MANUEL DIAZ PTA
3703 W LAKE AVE STE 200
GLENVIEW, IL 60026-1266
Phone number: 847-998-1188
Mailing Address
-- JUAN MANUEL DIAZ PTA
3717 ELMWOOD AVE
BERWYN, IL 60402-4039
Phone number: 708-788-8373