Sandra Rae Divine, PTA
Sandra Rae Divine, PTA is a Skilled Nursing Facility in Stockton, Missouri. Practices as a sole proprietor. Licensed in Missouri.
- Licensed in
- MO
- In the registry since
- 2014
What do these letters mean?
- PTA — Physical Therapist Assistant
- Delivers treatment under a physical therapist's direction.
Practice location Address checks out
1015 Lancaster DrStockton, MO 65785-8360
Phone: (417) 276-4531
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence 115167 (MO) |
|---|
Record details
| NPI number | 1932507431 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PTA |
| Sole proprietor | Yes |
| NPI enumerated | December 15, 2014 |
| Last updated in NPPES | December 15, 2014 |
| Mailing address | 1015 Lancaster Dr, Stockton, MO 65785-8360 |
Other providers in Stockton
-
Citizens Memorial Health Care Foundation
811 Owens Mill Rd, Stockton, MO 65785 · (417) 276-5126