Individual
MS. JENNIFER LYNN VAYNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
299 E RIVER RD, OSWEGO, NY 13126-6400
(315) 349-0773
Mailing address
159 W 1ST ST, OSWEGO, NY 13126-2045
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
006461-1
NY
Other
Enumeration date
11/26/2008
Last updated
11/26/2008
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