Doctor Name: | CHRISTINA L DIVELY |
NPI Number: | 1033315460 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT018726 |
Business Practice Address: | 7448 Woodbury Pike Roaring Spring, PA - 166731600 |
Business Phone Number: | 8122245566 |
Business Fax Number: | 8142242474 |
Mailing Address: | 310 Penn St, Suite 103 HOLLIDAYSBURG |
State: | PA |
Postal Code: | 166482044 |
Phone Number: | 8146952923 |
Fax Number: | 8146952924 |
NPI Enumeration Date: | 06/22/2007 |
NPI Last Update Date: | 10/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT018726 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |