Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Divine Vagine LLC

Organization Physical Therapist · NPI 1508795527

Divine Vagine LLC is a Physical Therapist in Randolph, New Jersey. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20 Clover Ln
Randolph, NJ 07869-4529
Phone: (973) 876-2509
Fax: (973) 876-2509
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1508795527
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daria Tavana — Owner/Physical Therapist · (973) 876-2509
NPI enumeratedMay 15, 2026
Last updated in NPPESMay 15, 2026
Certification dateMay 15, 2026
Mailing address20 Clover Ln, Randolph, NJ 07869-4529

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