| NPI | 1386192029 |
|---|---|
| Former Name | ABIGAIL DIAZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX AT6686) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2022-05-17 |