Provider Demographics
NPI:1639711617
Name:DIAMOND PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:DIAMOND PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:508-740-5229
Mailing Address - Street 1:21 CHURCH PL
Mailing Address - Street 2:
Mailing Address - City:HOLLISTON
Mailing Address - State:MA
Mailing Address - Zip Code:01746-1701
Mailing Address - Country:US
Mailing Address - Phone:508-740-5229
Mailing Address - Fax:
Practice Address - Street 1:4025 JOHNSON DAIRY ROAD
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410
Practice Address - Country:US
Practice Address - Phone:508-740-5229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-11
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty