Organization Name: | DIMOND PHYSICAL THERAPY AND PERFORMANCE LAB, LLC |
NPI Number: | 1184864365 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONNEL T DIMOND (DIRECTOR/OWNER) |
Mailing Address: | 735 Sw 158th Ave Ste 160 Beaverton |
State: | OR US |
Postal Code: | 970064952 |
Phone Number: | 5035970035 |
Fax Number: | 5032962985 |
NPI Enumeration Date: | 02/27/2009 |
NPI Last Update Date: | 01/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4750 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |