| NPI | 1457596009 |
|---|---|
| Former Name | JESSICA J DIAZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 8303) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 8303) |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2013-06-14 |