Davine, Ronna Marie

Davine, Ronna Marie is an individual health care provider with primary practice located at 5 Albert Cree Dr Vermont Sports Medicine Center, Rutland VT 05701. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Davine, Ronna Marie can be contacted via phone (802) 775-1300.

Contact Information

Primary practice address
5 Albert Cree Dr Vermont Sports Medicine Center Rutland VT 05701
Phone: (802) 775-1300
Fax: (802) 773-9300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 0400002469 Vermont

Profile Details

NPI number 1659407013
LBN Legal business name Davine, Ronna Marie
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659407013 NPPES
Other 988038 MVP
Other 00004675 MVP
MEDICAID OVN2144 MVP

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