Individual
MS. JENNIVER A PIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
100 WIMBLEDON SQ, CHESAPEAKE, VA 23320-4931
(757) 547-5145
(757) 547-5207
Mailing address
100 WIMBLEDON SQ, CHESAPEAKE, VA 23320-4931
(757) 547-5145
(757) 547-5207
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305205504
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2305205504
VIRGINIA STATE LICENSE
VA
Enumeration date
07/10/2008
Last updated
07/10/2008
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