Provider Demographics
NPI:1063210102
Name:VOLK, DIAMOND LASHAY
Entity type:Individual
Prefix:
First Name:DIAMOND
Middle Name:LASHAY
Last Name:VOLK
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2735 JAMESTOWN AVE
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23661-2037
Mailing Address - Country:US
Mailing Address - Phone:757-696-7006
Mailing Address - Fax:
Practice Address - Street 1:414 ALGONQUIN RD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23661-1605
Practice Address - Country:US
Practice Address - Phone:757-696-7006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305216365225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist