Organization
HOBOKEN HOLISTIC PHYSICAL THERAPY AND SPORTS MEDICINE LLC
Active
Other names
Hudson Rehabspa and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH DIVINAGRACIA (PHYSICAL THERAPIST)
(201) 993-9344
Entity
Organization
Contact information
Practice address
701 STATE ROUTE 440 SUITE 21, JERSEY CITY, NJ 07304
(201) 315-9859
(201) 433-4772
Mailing address
701 STATE ROUTE 440 SUITE 21, JERSEY CITY, NJ 07304
(201) 993-9344
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
25MZ00093800
NJ
225100000X
Physical Therapist
40QA00953000
NJ
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA00953000
NJ
Other
Enumeration date
01/08/2013
Last updated
11/06/2014
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