Individual
JENNIFER SWIFT DALVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
614 2ND AVE STE G, NEW YORK, NY 10016-4889
(212) 598-6054
(212) 598-7613
Mailing address
145 W 79TH ST APT 7B, NEW YORK, NY 10024-6410
(917) 865-8393
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
034442
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034442
PHYSICAL THERAPY LICENSE
NY
Enumeration date
01/06/2020
Last updated
01/06/2020
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