Dimond Physical Therapy and Performance Lab, LLC

NPI #1184864365 in Beaverton, Oregon

Provider Information

NPI Number: 1184864365
Entity Type: Organization
Organization Name: Dimond Physical Therapy and Performance Lab, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Feb 27, 2009
Last Updated: Jan 21, 2011

Practice Location

Address: 735 SW 158TH AVE
Address 2: STE 160
City: Beaverton
State: Oregon
ZIP Code: 97006-4952
Phone: (503) 597-0035

Authorized Official

Name: MR. DONNEL T DIMOND, PT
Title: DIRECTOR/OWNER
Phone: (503) 810-7264

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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