Individual
ADAM DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, ATC, CSCS
Contact information
Practice address
2763 KISSIMMEE BAY CIR, KISSIMMEE, FL 34744-3946
(606) 875-3260
Mailing address
2763 KISSIMMEE BAY CIR, KISSIMMEE, FL 34744-3946
(606) 875-3260
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
007100
KY
225100000X
Physical Therapist
12136
MN
225100000X
Physical Therapist
Primary
2305216296
VA
225100000X
Physical Therapist
34454
FL
2255A2300X
Athletic Trainer
1078
KY
2255A2300X
Athletic Trainer
3378
MN
2255A2300X
Athletic Trainer
5548
FL
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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