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Mrs. Dawn Marie Agnese Diaz, PT
Pediatric Physical Therapist in Lake Ronkonkoma, New York
NPI 1679774921

Dawn Marie Agnese Diaz is a Pediatric Physical Therapist based in Lake Ronkonkoma, NY and is specialized in Pediatrics. Dawn Marie Agnese Diaz practices in Lake Ronkonkoma, NY and has the professional credentials of PT. The NPI Number for Dawn Marie Agnese Diaz is 1679774921 and holds a License No. 020827 (New York).

The current practice location address for Dawn Marie Agnese Diaz is 137 Foster Rd, Lake Ronkonkoma, NY and can be reached out via phone at 631-588-0104.

Location: 137 Foster Rd, Lake Ronkonkoma, NY, 11779-4310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679774921
Provider Name
Dawn Marie Agnese Diaz
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
137 Foster Rd, Lake Ronkonkoma, NY, 11779-4310
Phone Number
631-588-0104
Fax Number
Provider Enumeration Date
05/31/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
137 Foster Rd
City
Lake Ronkonkoma
State
New York
Zip
11779-4310
Phone Number
631-588-0104
Fax Number
person
Provider Business Mailing Address Details
Address
137 Foster Rd
City
Lake Ronkonkoma
State
New York
Zip
11779-4310
Phone Number
631-588-0104
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
020827 (New York)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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