Individual
KIMBERLY DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
W4266 COUNTY ROAD X, OWEN, WI 54460-3301
(715) 229-2172
Mailing address
12787 COUNTY HIGHWAY H, STANLEY, WI 54768-5814
(715) 703-0942
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2351
WI
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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