Individual
DR. DAVID JAMES DIVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2811 RIVERSIDE DR, DANVILLE, VA 24540-4117
(434) 799-6100
(434) 799-1116
Mailing address
PO BOX 1119, STEPHENS CITY, VA 22655-1119
(540) 868-9599
(540) 868-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206638
VA
Other
Enumeration date
09/10/2010
Last updated
01/10/2017
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