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BARBARA ANNETTE DIVINCENZO

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
911 N SPRING GARDEN AVE, DELAND, FL 32720-2560
(386) 736-3108
(386) 736-3643
Mailing address
911 N SPRING GARDEN AVE, DELAND, FL 32720-2560
(386) 736-3108
(386) 736-3643

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT 2674
FL
225XH1200X
Hand Occupational Therapist
Primary
OT 2674
FL
225XN1300X
Neurorehabilitation Occupational Therapist
OT 2674
FL
225XP0200X
Pediatric Occupational Therapist
OT 2674
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
882118600
FL
01
OT 2674
STATE LICENSE
FL
01
Z6251
BLUE CROSS & BLUE SHIELD
FL
Enumeration date
06/13/2006
Last updated
09/11/2025
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