Organization
DIVINE CSRD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHARGAV ARVINDKUMAR DAVE PT, DPT (OWNER)
(248) 416-3321
Entity
Organization
Contact information
Practice address
608 FARM TO MARKET ROAD 517 WEST, DICKINSON, TX 77539
(832) 932-7900
(832) 932-7901
Mailing address
2804 FIELD HOLLOW DR, PEARLAND, TX 77584-1848
(248) 416-3321
(888) 789-2329
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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