Individual
MRS. DIAMOND LEA FEENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1300 E SOUTH ST, GLOBE, AZ 85501
(928) 425-3118
Mailing address
2005 W CARTER RD, PHOENIX, AZ 85041-6556
(207) 240-4421
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
12275A
AZ
225200000X
Physical Therapy Assistant
PA3319
ME
Other
Enumeration date
11/18/2008
Last updated
09/11/2023
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