Organization
DIVINE THERAPY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERROLYNN JUSTUSSON (PRESIDENT)
(800) 743-0396
Entity
Organization
Contact information
Practice address
607 TURNER ST, DEWITT, MI 48820-9605
(231) 233-2480
Mailing address
607 TURNER ST, DEWITT, MI 48820-9605
(231) 233-2480
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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