Individual
TIARA DIMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4668 PEMBROKE BLVD STE 115, VIRGINIA BEACH, VA 23455-6423
(757) 648-8562
Mailing address
212 W 29TH ST, NORFOLK, VA 23504-1508
(757) 470-1202
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306606549
VA
Other
Enumeration date
01/28/2025
Last updated
02/06/2025
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