SANDRA DIVINE, P.T.A

Skilled Nursing Facility

Active Individual
NPI: 1932507431

Practice Address

1015 LANCASTER DR
Stockton, MO 65785

Phone: (417) 276-4531

Specialties

Specialty Code Primary License
Skilled Nursing Facility 314000000X Yes 115167 (MO)

Frequently Asked Questions

NPI 1932507431 is the National Provider Identifier for SANDRA DIVINE, P.T.A, a Skilled Nursing Facility provider located in Stockton, MO. This NPI was enumerated on December 15, 2014.
SANDRA DIVINE, P.T.A practices at 1015 LANCASTER DR, Stockton, MO 65785.

Quick Facts

NPI
1932507431
Type
Individual
Enumerated
Dec 15, 2014
Last Updated
Dec 15, 2014

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