TIARA DIMOND
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1750194312- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 4668 PEMBROKE BLVD STE 115, VIRGINIA BEACH, VA, 234556423
- Phone
- (757) 648-8562
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: VA #2306606549