Kesjana Divjaka, LMT, CDT, MLD-C | |
269 Us Highway 46 Ste 128, Little Ferry, NJ 07643-1438 | |
(551) 352-8695 | |
Not Available |
Full Name | Kesjana Divjaka |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 269 Us Highway 46 Ste 128, Little Ferry, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578277935 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 18KT01388300 (New Jersey) | Primary |
Mailing Address | Practice Location Address |
---|---|
Kesjana Divjaka, LMT, CDT, MLD-C 278 Main St Apt C2, Little Ferry, NJ 07643-1375 Ph: (551) 352-8695 | Kesjana Divjaka, LMT, CDT, MLD-C 269 Us Highway 46 Ste 128, Little Ferry, NJ 07643-1438 Ph: (551) 352-8695 |
Ilia Gerassimov, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 14 Center St, Little Ferry, NJ 07643 Phone: 718-506-4515 | |
Ms. Sandra Sungju Park, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 Waterside Dr, Little Ferry, NJ 07643 Phone: 201-741-7578 |