Organization
DIVINECARE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JALPA DHOLARIA (FOUNDER)
(646) 379-4540
Entity
Organization
Contact information
Practice address
11 SKILLMAN AVENUE, JERSEY CITY, NJ 07306
(646) 379-4540
Mailing address
11 SKILLMAN AVENUE, JERSEY CITY, NJ 07306
(646) 379-4540
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
251E00000X
Home Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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