National Provider Identifier

Jennifer Dianne Livi, PTA

Jennifer Dianne Livi, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Perrysburg, NY and a listed phone number of (716) 672-3400.

NPI 1679618227Perrysburg, NYPhysical Therapy Assistant

Profile Overview

NPI
1679618227
Provider Type
Individual
Primary Specialty
Physical Therapy Assistant
Enumeration Date
February 21, 2007
Last Updated
July 08, 2007

Practice Location

  • 10714 North RD
  • Perrysburg, NY 14129-9746

Phone: (716) 672-3400

Mailing Address

  • 123 Tremont Ave
  • Kenmore, NY 14217-2333

Specialties

  • Physical Therapy Assistant (225200000X)
Full Record
NPI
1679618227
Entity Type
Individual
Last Name
Livi
First Name
Jennifer
Middle Name
Dianne
Name Prefix
Mrs.
Credential
PTA
Mailing Street Address
123 Tremont Ave
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-2333
Mailing Country
US
Mailing Phone
(716) 523-1567
Practice Street Address
10714 North RD
Practice City
Perrysburg
Practice State
NY
Practice ZIP Code
14129-9746
Practice Country
US
Practice Phone
(716) 672-3400
Practice Fax
(716) 672-3409
Enumeration Date
February 21, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapy Assistant (225200000X)