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1760995427
DIANE WALZ
STATEN ISLAND, NY
NPI
1760995427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2017-11-15
Last Update Date
2018-03-17
Business Address
DIANE WALZ PTA
1751 VICTORY BLVD
STATEN ISLAND, NY 10314-3513
Phone number: 718-816-6111
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Mailing Address
DIANE WALZ PTA
5327 18TH AVE
BROOKLYN, NY 11204-1523
Phone number: 718-831-2333
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