Kassidy Diaz
Physical Therapist Orthotic Fitter
432 E Main St
Middletown
, Delaware 19709-1462
Kassidy Diaz
Physical Therapist Orthotic Fitter
432 E Main St
Middletown
, Delaware 19709-1462
(410) 648-4878
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About
Features
Specialties
- Orthotic Fitter
- Physical Therapist
Languages spoken
- English
Location
First Address
- Kassidy Diaz
- 350 New Fidelity Ct
- Garner, NC
- Zip : 27529-2665
- Fax : (410) 648-4878
- Phone : (919) 258-2714
Second Address
- Kassidy Diaz
- 432 E Main St
- Middletown, DE
- Zip : 19709-1462
- Fax : (410) 648-4878
- Phone : (919) 258-2714
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225000000X | Orthotic Fitter | PT026076 | PA |
| Y | 225100000X | Physical Therapist | ||
| N | 225100000X | Physical Therapist | J1-0003367 | DE |
National Provider Identifier
| NPI | 1124401534 |
|---|---|
| Provider Name | Kassidy Diaz |
| First Address | Garner, NC 27529-2665 |
| Second Address | Middletown, DE 19709-1462 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/07/2015 |
| Last Update Date | 21/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1124401534 | (05) | DE |
| 3288895 | BS BS DE (01) | DE |
| 432763ZB82 | (02) | DE |
| AC44-0066 | CAREFIRST (01) | DE |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.