DAWN MARIE AGNESE DIAZ

LAKE RONKONKOMA, NY
NPI1679774921
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2251P0200X Physical Therapist, Pediatrics
(Licence: NY  020827)
Enumeration Date2007-05-31
Last Update Date2007-07-08
Business Address
Mrs. DAWN MARIE AGNESE DIAZ PT
137 FOSTER RD
LAKE RONKONKOMA, NY 11779-4310
Phone number: 631-588-0104
Mailing Address
Mrs. DAWN MARIE AGNESE DIAZ PT
137 FOSTER RD
LAKE RONKONKOMA, NY 11779-4310
Phone number: 631-588-0104
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