MALOU DIAZ

HAMMOND, IN
NPI1669726543
Former NameMARIA LOURDES DIAZ BUSTALINO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05007064A)
Enumeration Date2012-10-31
Last Update Date2014-12-29
Business Address
-- MALOU DIAZ PT
1738 165TH ST STE A
HAMMOND, IN 46320-2821
Phone number: 219-844-1782
Mailing Address
-- MALOU DIAZ PT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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