Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CAMILLE ALEAH JIVIDEN
Active Sole ProprietorCAMILLE ALEAH JIVIDEN is a Physical Therapy Assistant healthcare provider located in KENMORE, New York. NPI 1407516990 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · KENMORE, NY
Registration Details
- NPI Number
- 1407516990
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 23, 2021 (4.6422464433244 yrs)
- Last Updated
- Apr 19, 2023
- License
-
048271-01 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3767 DELAWARE AVEKENMORE, NY, 142171040Browse NY providers · Browse ZIP 14217
- Phone
- 7168746175
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in KENMORE, NY
| Name | Credential | NPI |
|---|---|---|
| TINA MARIE DEGEORGE | MSPT | 1144282385 |
| DOROTHY E FOIGELMAN HOLLAND | PT DPT | 1538239207 |
| SYLBIE HODAS-GATES | DPT | 1699845362 |
| JULIE N STYN | PT | 1841360559 |
| SUSAN L BAINBRIDGE | PT | 1053481796 |
| DAVID J LACHOWSKI | PT | 1174693840 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.