GENE IAN DIAZ

WEST COVINA, CA
NPI1851997522
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  49288)
Enumeration Date2020-12-08
Last Update Date2020-12-08
Business Address
GENE IAN DIAZ PTA
537 E VINE AVE
WEST COVINA, CA 91790-5126
Phone number: 888-763-4963
Mailing Address
GENE IAN DIAZ PTA
18826 ALTARIO ST
LA PUENTE, CA 91744-6107
Phone number: 626-241-5595