Individual
MRS. JENNIFER ROSE DUVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
20 MANOR DR, OSWEGO, NY 13126-6495
(315) 349-5346
Mailing address
63 PATRICK CIR, FULTON, NY 13069-3231
(315) 598-5050
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0038601
NY
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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