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Darcee Lynn Divan, PT
Pediatric Physical Therapist in Urbana, Illinois
NPI 1306978374

Darcee Lynn Divan is a Pediatric Physical Therapist based in Fithian, IL and is specialized in Pediatrics. Darcee Lynn Divan practices in Urbana, IL and has the professional credentials of PT. The NPI Number for Darcee Lynn Divan is 1306978374 and holds a License No. 05009175A (Illinois).

The current practice location address for Darcee Lynn Divan is 810 W Anthony Dr, Urbana, IL and can be reached out via phone at 217-383-3400. You can also correspond with Darcee Lynn Divan through the mailing address at 504 N MAIN ST, FITHIAN, IL - 61844-9700 (mailing address contact number: ).

Location: 810 W Anthony Dr, Urbana, IL, 61844-9700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306978374
Provider Name
Darcee Lynn Divan
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
810 W Anthony Dr, Urbana, IL, 61844-9700
Phone Number
217-383-3400
Fax Number
Provider Enumeration Date
03/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200845000 01 IN EARLY INTERVENTION
200848330 05 IN
institution
Provider Business Practice Location Address Details
Address
810 W Anthony Dr
City
Urbana
State
Illinois
Zip
61802-7431
Phone Number
217-383-3400
Fax Number
person
Provider Business Mailing Address Details
Address
504 N Main St
City
Fithian
State
Illinois
Zip
61844-9700
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
05009175A (Indiana)
Definition
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.
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