Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. ELIZABETH BULOSAN DIVINAGRACIA, PHYSICAL THERAPIST
Active Sole ProprietorMRS. ELIZABETH BULOSAN DIVINAGRACIA, PHYSICAL THERAPIST is a Rehabilitation (Chiropractor) healthcare provider located in OAKLAND, New Jersey. NPI 1588855308 is currently active in the NPPES registry. Verify at CMS.
Rehabilitation (Chiropractor) · OAKLAND, NJ
Registration Details
- NPI Number
- 1588855308
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 6, 2007 (18.994370872353 yrs)
- Last Updated
- Jun 30, 2016
- License
-
40QA00953000 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9 POST RD STE M12OAKLAND, NJ, 074361615Browse NJ providers · Browse ZIP 07436
- Phone
- 2016510062
- Fax
- 2016517723
- Primary Specialty
-
Rehabilitation (Chiropractor)
111NR0400X
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.