Individual
MARCIE DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5310 ACTON HWY STE 106, GRANBURY, TX 76049-3105
(817) 326-1375
(817) 326-2068
Mailing address
5310 ACTON HWY STE 106, GRANBURY, TX 76049-3105
(817) 326-1375
(817) 326-2068
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2121839
TX
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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