| Doctor Name: | MS. EILEEN REILLY DIAZ |
| NPI Number: | 1376710012 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T., R.N. |
| License Number: | 40QA00498800 |
| Business Practice Address: | 51 Oakwood Ave Upper Montclair, NJ - 070431916 |
| Business Phone Number: | 9737441680 |
| Business Fax Number: | 9736550971 |
| Mailing Address: | 51 Oakwood Ave, UPPER MONTCLAIR |
| State: | NJ |
| Postal Code: | 070431916 |
| Phone Number: | 9737441680 |
| Fax Number: | 9736550971 |
| NPI Enumeration Date: | 05/12/2008 |
| NPI Last Update Date: | 05/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251H1300X |
| License Number: | 40QA00498800 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Human Factors |
| Taxonomy Definition: | |