Avellanosa, Divino

Avellanosa, Divino is an individual health care provider with primary practice located at 109 Briarcliff Rd , Branson MO 65616-3735. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Avellanosa, Divino can be contacted via phone (417) 339-4069.

Contact Information

Primary practice address
109 Briarcliff Rd Branson MO 65616-3735
Phone: (417) 339-4069
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT1650 Arkansas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X

Profile Details

NPI number 1851753651
LBN Legal business name Avellanosa, Divino
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2016
Last updated Mar 22nd, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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