Wilson Diez, PT, DPT

NPI #1316414923 in Montclair, New Jersey

Provider Information

NPI Number: 1316414923
Entity Type: Individual
Name: Wilson Diez, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Nov 1, 2018
Last Updated: Mar 18, 2020

Practice Location

Address: 15 BLOOMFIELD AVE
City: Montclair
State: New Jersey
ZIP Code: 07042-4888
Phone: (973) 744-2770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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