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1720662802
AMY DIVIN
HUNTSVILLE, TX
NPI
1720662802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2157339)
Enumeration Date
2021-05-05
Last Update Date
2021-05-05
Business Address
AMY DIVIN PTA
100 MEDICAL CENTER PKWY STE 100
HUNTSVILLE, TX 77340-4959
Phone number: 936-293-8800
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Mailing Address
AMY DIVIN PTA
13326 ENCHANTED WAY DR
MONTGOMERY, TX 77356-5211
Phone number: 936-520-9370
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