Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN DIVER, RPT
Active Sole ProprietorPhysical Medicine & Rehabilitation · BROCKTON, MA
Registration Details
- NPI Number
- 1063993640
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 22, 2018 (7.7058743768069 yrs)
- Last Updated
- Aug 22, 2018
- Licenses
-
8068 (MA)PT8068 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
215 THATCHER STBROCKTON, MA, 023023949Browse MA providers · Browse ZIP 02302
- Phone
- 5085835834
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
- Additional Specialty
- Physical Medicine & Rehabilitation
Other Physical Medicine & Rehabilitation Providers in BROCKTON, MA
| Name | Credential | NPI |
|---|---|---|
| JERRY CHI CHUAN FANG | MD | 1437413242 |
| DR. TARA SAMANTHA SWIM | M.D. | 1104267012 |
| DR. JOHN ALEXANDER WALLINGTON | M.D. | 1265819577 |
| MR. DANIEL SHAW | — | 1861346777 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.