Divino Avellanosa
Physical Therapist in Branson, MO. Individual provider (NPI-1).
NPI number1851753651
StatusActive
Last updated in NPPESMar 22, 2016
Details
- NPI
- 1851753651
- Entity type
- Individual (NPI-1)
- Name
- Divino Avellanosa
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2016
- Last updated
- Mar 22, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT1650 | AR | Yes |
| 2251G0304X | Physical Therapist, Geriatrics | – | – |
Practice location
109 Briarcliff RdBranson, MO 65616-3735
Phone 417-339-4069
Mailing address
109 Briarcliff RdBranson, MO 65616-3735
Phone 417-339-4069
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All 15 Physical Therapist providers in Branson · All 733 providers in Branson
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