LEILANI DIAZ

ARDMORE, TN
NPI1518201045
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: TN  4338)
Enumeration Date2012-11-21
Last Update Date2012-11-21
Business Address
Mrs. LEILANI DIAZ
25385 MAIN ST
ARDMORE, TN 38449-3155
Phone number: 931-427-2143
Mailing Address
Mrs. LEILANI DIAZ
25385 MAIN ST
ARDMORE, TN 38449-3155
Phone number: 931-427-2143
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