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Individual

MRS. JENNIFER DIANNE LIVI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
10714 NORTH RD, PERRYSBURG, NY 14129-9746
(716) 672-3400
(716) 672-3409
Mailing address
123 TREMONT AVE, KENMORE, NY 14217-2333
(716) 523-1567

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0059801
NY

Other

Enumeration date
02/21/2007
Last updated
07/08/2007
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