Divino Avellanosa

Physical Therapist · Branson, MO

Individual Active NPI

NPI number 1851753651

Practice location

109 Briarcliff Rd
Branson, MO 65616-3735
Phone
(417) 339-4069

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NPI record

NPI
1851753651
Entity type
Individual (Type 1)
Enumeration date
March 22, 2016
Last updated
March 22, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X PT1650 AR
Geriatric Physical Therapist 2251G0304X — —

About Divino Avellanosa

Divino Avellanosa is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 109 Briarcliff Rd, Branson, MO 65616-3735. The NPI number 1851753651 was assigned on March 22, 2016 and the record was last updated on March 22, 2016.

Divino Avellanosa lists a license in the registry: #PT1650 (AR) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Divino Avellanosa?

The NPI number is 1851753651.

What is the phone number of Divino Avellanosa?

The phone number listed for the practice location is (417) 339-4069.

Where is Divino Avellanosa located?

109 Briarcliff Rd, Branson, MO 65616-3735.

What is the taxonomy code for Divino Avellanosa?

The primary taxonomy code is 225100000X – Physical Therapist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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