Individual
DIVYABHARATHI KAMSANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
59 LIBERTY AVE, JERSEY CITY, NJ 07306-5070
(201) 920-5401
Mailing address
59 LIBERTY AVE APT 2, JERSEY CITY, NJ 07306-5070
(201) 920-5401
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
045361
NY
Other
Enumeration date
04/14/2023
Last updated
04/17/2023
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