DIAMOND MUNGROO
Physical Therapist
Active
Individual
NPI: 1871118505
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist - Athletic Trainer | 2255A2300X | No | AT004177 (GA) |
| Physical Therapist | 225100000X | Yes | PT017813 (GA) |
Frequently Asked Questions
NPI 1871118505 is the National Provider Identifier for DIAMOND MUNGROO, a Physical Therapist provider located in East Ellijay, GA. This NPI was enumerated on June 9, 2020.
DIAMOND MUNGROO practices at 97 HEFNER ST, East Ellijay, GA 30540.
Quick Facts
- NPI
- 1871118505
- Type
- Individual
- Enumerated
- Jun 9, 2020
- Last Updated
- Jan 3, 2026
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