Theresa Divita
NPI #1972046324 in Spring Valley, California
Provider Information
- NPI Number
- 1972046324
- Entity Type
- Individual
- Name
- Theresa Divita
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Dec 2, 2016
- Last Updated
- Dec 2, 2016
Practice Location
- Address
- 9862 OLD RIDGE RD
- City
- Spring Valley
- State
- California
- ZIP Code
- 91977-3462
- Phone
- (619) 436-7374
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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