NPI 1609339365

Andy Diaz

Practitioner Physical Therapy Assistant Pine Bluff, AR

Practice location

Address: 1600 W 40th Ave, Pine Bluff, AR 71603-6301
Phone: (870) 541-7100
Mailing address: 2646 Stark Ave, Kansas City, MO 64129-1442

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2018026095 (MO)

Other Physical Therapy Assistant providers in Arkansas →

Registry record

NPI: 1609339365
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Apr 2019
Record last updated: 10 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.