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Individual
MR. TIMOTHY DANIEL DIAMOND
Active
Individual
MR. TIMOTHY DANIEL DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA02228900
NJ
225100000X
Physical Therapist
Primary
PT03196
PA
Other
Enumeration date
12/14/2023
Last updated
01/21/2024
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