Individual provider · Type 1 NPI

Theresa Divita

Physical Therapy Assistant · Spring Valley, CA

NPI number 1972046324 Active

Practice location

9862 Old Ridge Rd
Spring Valley, CA 91977-3462

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Assistant Primary	225200000X	AT 4267 (CA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1972046324

Theresa Divita's National Provider Identifier is 1972046324, issued on Dec 2, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Spring Valley, CA. The record was last updated on Dec 2, 2016.