Individual
DEIVIDAS JESKEVICIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
212 NJ-94 UNIT 2G & 2H, VERNON, NJ 07462
(973) 209-0086
Mailing address
41 WALTER DR, JACKSON, NJ 08527-3419
(732) 691-6907
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00888700
NJ
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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