Provider Demographics
NPI:1083604912
Name:DIAMOND, ALAN EDWARD (ATC)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:EDWARD
Last Name:DIAMOND
Suffix:
Gender:
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 E BUTLER AVE
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2607
Mailing Address - Country:US
Mailing Address - Phone:215-489-2361
Mailing Address - Fax:215-489-6361
Practice Address - Street 1:700 E BUTLER AVE
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2607
Practice Address - Country:US
Practice Address - Phone:215-489-2361
Practice Address - Fax:215-489-2361
Is Sole Proprietor?:No
Enumeration Date:2005-10-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAT3715225200000X
NJ25MT000430002255A2300X, 2255A2300X
PART0056382255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant