Organization
DIAMOND PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTELLA RECREO PT (PRESIDENT)
(909) 860-5382
Entity
Organization
Contact information
Practice address
402 S PROSPECTORS RD, SUITE E, DIAMOND BAR, CA 91765-1618
(909) 860-5382
(909) 860-5384
Mailing address
402 S PROSPECTORS RD, SUITE E, DIAMOND BAR, CA 91765-1618
(909) 860-5382
(909) 860-5384
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/24/2008
Last updated
03/24/2008
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