Search › Missouri › 314000000X
Sandra Divine, P.T.A
NPI 1932507431 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1015 Lancaster Dr
Stockton, MO 65785 - Phone
- (417) 276-4531
Registry record
- Primary taxonomy
- 314000000X
314000000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-12-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri