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NPI Code Detail

MEDICARE: DIAMOND THERAPY PARTNERS, LLC

MEDICARE: DIAMOND THERAPY PARTNERS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist
2225200000XPhysical Therapy Assistant
3225X00000XOccupational Therapist
4235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1912527433
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIAMOND THERAPY PARTNERS, LLC
Provider Business Mailing Address
First Line : 3612 W SOUTHERN HILLS BLVD STE 6
Second Line :
City : ROGERS
State : AR
Zip : 72758-8231
Country : US
Telephone Number : 479-530-7438
Fax Number : 479-755-9993
Provider Business Practice Location Address
First Line : 3612 W SOUTHERN HILLS BLVD STE 6
Second Line :
City : ROGERS
State : AR
Zip : 72758-8231
Country : US
Telephone Number : 479-530-7438
Fax Number :
Authorized Official
Title or Position : OWNER/SLP
Name : BRITTNEY WHEELER
Credential : MS, CCC-SLP
Telephone Number : 479-530-7438
Provider Enumeration Date : 04/24/2020
Last Update Date : 11/01/2021

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Directions to “DIAMOND THERAPY PARTNERS, LLC ” Practice Location

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