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Individual

MRS. JENNA CALABRESE VAETH

Active
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Individual

MRS. JENNA CALABRESE VAETH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0267691
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00027084302
UNIVERA
NY
01
000628037002
BCBS
NY
01
9312827
INDEPENDENT HEALTH
NY
Enumeration date
01/30/2007
Last updated
07/08/2007
About Stedi
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