Divita, Theresa

Divita, Theresa is an sole proprietor health care provider with primary practice located at 9862 Old Ridge Rd , Spring Valley CA 91977-3462. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Divita, Theresa can be contacted via phone (619) 436-7374.

Contact Information

Primary practice address
9862 Old Ridge Rd Spring Valley CA 91977-3462
Phone: (619) 436-7374
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X AT 4267 California

Profile Details

NPI number 1972046324
LBN Legal business name Divita, Theresa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2016
Last updated Dec 2nd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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