Divino Avellanosa

NPI #1851753651 in Branson, Missouri

Provider Information

NPI Number
1851753651
Entity Type
Individual
Name
Divino Avellanosa
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Enumeration Date
Mar 22, 2016
Last Updated
Mar 22, 2016

Practice Location

Address
109 BRIARCLIFF RD
ZIP Code
65616-3735
Phone
(417) 339-4069

Specialties & Taxonomy Codes

Specialty
Physical Therapist
Physical Therapist - GeriatricsGeriatrics

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