Individual provider · Type 1 NPI

Guillermo Lucero Diaz, PTA

Physical Therapy Assistant · Winter Haven, FL

NPI number 1457026148 Active

Practice location

330 Avenue C SE
Winter Haven, FL 33880-3243

Call (863) 268-2903 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA28397 (FL)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1457026148

Guillermo Lucero Diaz, PTA's National Provider Identifier is 1457026148, issued on Aug 13, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Winter Haven, FL. The record was last updated on Aug 13, 2021.