Doctor Name: | DIEGO DIAZ SAUSA |
NPI Number: | 1174567481 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., DPT |
License Number: | PT 7037 |
Business Practice Address: | 14630 Palm Beach Blvd Suite 6 Fort Myers, FL - 339052333 |
Business Phone Number: | 2396903100 |
Business Fax Number: | 2396933200 |
Mailing Address: | Po Box 2565, FORT MYERS |
State: | FL |
Postal Code: | 339022565 |
Phone Number: | 2398501891 |
Fax Number: | 2395611310 |
NPI Enumeration Date: | 06/16/2006 |
NPI Last Update Date: | 07/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 7037 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |