Individual
KATE ALLYN DIVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
2811 RIVERSIDE DR, DANVILLE, VA 24540-4117
(434) 799-6100
Mailing address
732 OSMOND RD, SEMORA, NC 27343-8607
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206639
VA
Other
Enumeration date
09/10/2010
Last updated
09/10/2010
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