Provider Demographics
NPI:1831671783
Name:SAGUM, DIVINA FRANCIA (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:DIVINA FRANCIA
Middle Name:
Last Name:SAGUM
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 287
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:TX
Mailing Address - Zip Code:76385-0287
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2509 BISMARCK ST
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:TX
Practice Address - Zip Code:76384-6004
Practice Address - Country:US
Practice Address - Phone:940-414-1849
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-06
Last Update Date:2020-06-26
Deactivation Date:2018-10-27
Deactivation Code:
Reactivation Date:2020-02-17
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist