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Organization
RIVER'S EDGE THERAPY PLLC
Active
Organization
RIVER'S EDGE THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARCEE DIVAN PT, MSPT (PHYSICAL THERAPIST/OWNER)
(217) 418-6761
Entity
Organization
Contact information
Practice address
1505 HOLZEM CT, SAINT JOSEPH, IL 61873-9484
(217) 418-6761
Mailing address
1505 HOLZEM CT, SAINT JOSEPH, IL 61873-9484
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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