Guillermo Lucero Diaz, PTA
NPI #1457026148 in Winter Haven, Florida
Provider Information
- NPI Number
- 1457026148
- Entity Type
- Individual
- Name
- Guillermo Lucero Diaz, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Aug 13, 2021
- Last Updated
- Aug 13, 2021
Practice Location
- Address
- 330 AVENUE C SE
- City
- Winter Haven
- State
- Florida
- ZIP Code
- 33880-3243
- Phone
- (863) 268-2903
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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