Individual
MR. JAY ERIC DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3734 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63109-1800
(314) 351-7172
(314) 351-6885
Mailing address
600 OAKMONT LN, STE 600C, WESTMONT, IL 60559-5548
(630) 575-6250
(630) 575-7450
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01635
MO
Other
Enumeration date
09/14/2006
Last updated
07/01/2020
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