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

Individual provider Physical Therapy Assistant · NPI 1972046324

Theresa Divita is a Physical Therapy Assistant in Spring Valley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016
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Practice location Address checks out

9862 Old Ridge Rd
Spring Valley, CA 91977-3462
Phone: (619) 436-7374
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence AT 4267 (CA)

Record details

NPI number1972046324
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 2, 2016
Last updated in NPPESDecember 2, 2016

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