Diamond Physical Therapy
NPI #1891880001 in Ligonier, Pennsylvania
Provider Information
- NPI Number
- 1891880001
- Entity Type
- Organization
- Organization Name
- Diamond Physical Therapy
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Oct 4, 2006
- Last Updated
- Sep 30, 2008
Practice Location
- Address
- 1865 RT 30
- City
- Ligonier
- State
- Pennsylvania
- ZIP Code
- 15658-1214
- Phone
- (724) 238-9185
Authorized Official
- Name
- JEROME JAMES DERISO, MPT
- Title
- OWNER, PHYSICAL THERAPIST
- Phone
- (724) 238-9185
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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