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1407686165
STEPHANIE MARIE DIVITA
SAN LEANDRO, CA
NPI
1407686165
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2024-08-06
Last Update Date
2024-08-06
Business Address
STEPHANIE MARIE DIVITA PT, DPT
13939 E 14TH ST STE 150
SAN LEANDRO, CA 94578-2601
Phone number: 510-343-8328
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Mailing Address
STEPHANIE MARIE DIVITA PT, DPT
1371 ANZA WAY
LIVERMORE, CA 94550-5509
Phone number: 559-365-1725
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