CAMILLE JIVIDEN

Physical Therapist

Active Individual
NPI: 1407516990

Practice Address

3767 DELAWARE AVE
Kenmore, NY 14217

Phone: (716) 874-6175

Specialties

Specialty Code Primary License
Physical Therapist 225100000X Yes 048271-01 (NY)

Frequently Asked Questions

NPI 1407516990 is the National Provider Identifier for CAMILLE JIVIDEN, a Physical Therapist provider located in Kenmore, NY. This NPI was enumerated on December 23, 2021.
CAMILLE JIVIDEN practices at 3767 DELAWARE AVE, Kenmore, NY 14217.

Quick Facts

NPI
1407516990
Type
Individual
Enumerated
Dec 23, 2021
Last Updated
Apr 19, 2023

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