JAVIER DIAZ PROENZA

TAMPA, FL
NPI1497492094
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA31993)
Enumeration Date2022-05-16
Last Update Date2022-05-16
Business Address
JAVIER DIAZ PROENZA PTA
15002 HUTCHISON RD
TAMPA, FL 33625-5502
Phone number: 813-960-1969
Mailing Address
JAVIER DIAZ PROENZA PTA
8263 MALVERN CIR
TAMPA, FL 33634-2242
Phone number: 786-403-6564
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