Sandra Rae Divine, P.T.A
NPI #1932507431 in Stockton, Missouri
Provider Information
- NPI Number
- 1932507431
- Entity Type
- Individual
- Name
- Sandra Rae Divine, P.T.A
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Skilled Nursing Facility
- Credential
- P.T.A
- Enumeration Date
- Dec 15, 2014
- Last Updated
- Dec 15, 2014
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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