| NPI | 1134650690 |
|---|---|
| Former Name | BETHANY N DIAMOND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 13751) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60843631) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH 004340) | |
| Enumeration Date | 2017-03-25 |
| Last Update Date | 2025-04-22 |