P.T. Darcee Lynn Divan, NPI 1306978374
Pediatric Physical Therapist in Urbana, IL, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1306978374
NPI Entity Type Individual
Provider Name P.T. Darcee Lynn Divan
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 810 W Anthony Dr, Urbana, IL, US
Provider Mailing Address 504 N Main St, Po Box 243, Fithian, IL, US, 618449700
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

2251P0200X

Taxonomy Name Pediatric Physical Therapist
Classification

Physical Therapist

Group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

License No. 05009175A
License State IN
Description A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

Business Address

P.T. Darcee Lynn Divan
810 W Anthony Dr

Urbana, IL, US

Phone: 217-383-3400

Mailing Address

P.T. Darcee Lynn Divan
504 N Main St
Po Box 243
Fithian, IL, US
ZIP 618449700

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
200845000 IN EARLY INTERVENTION 01
200848330 IN MEDICAID 05

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