Andy Diaz Valid NPI

Individual provider · Physical Therapy Assistant · Pine Bluff, AR

NPI

1609339365

Type

Individual (Type 1)

Primary specialty

Physical Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225200000X

License number

2018026095 (MO)

Sex

Male

Sole proprietor

No

Enumerated

2019-04-10

Last updated

2019-04-10