Liberty Enterprises, LLC

NPI #1528669066 in Moses Lake, Washington

Provider Information

NPI Number: 1528669066
Entity Type: Organization
Organization Name: Liberty Enterprises, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Nov 2, 2020
Last Updated: Nov 2, 2020

Practice Location

Address: 5227 ROAD K NE
City: Moses Lake
State: Washington
ZIP Code: 98837-9038
Phone: (509) 431-8943

Authorized Official

Name: DOUGLAS RONALD DIAZ, PT
Title: PT
Phone: (509) 431-8943

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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