Individual provider · Type 1 NPI
Melissa Ivy Diamond, PT
Pediatric Physical Therapist · Long Island City, NY
Practice location
1430 Broadway
Long Island City, NY 11106-4530
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 023906-1 (NY) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
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About NPI 1811263619
Melissa Ivy Diamond, PT's National Provider Identifier is 1811263619, issued on Mar 26, 2012. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Long Island City, NY. The record was last updated on Mar 26, 2012.