Provider Demographics
NPI:1861664807
Name:SILVA, JENNIFER L (PT DPT ATC)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:L
Last Name:SILVA
Suffix:
Gender:F
Credentials:PT DPT ATC
Other - Prefix:
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Mailing Address - Street 1:328 COWESETT AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:WEST WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02893
Mailing Address - Country:US
Mailing Address - Phone:401-823-8856
Mailing Address - Fax:401-826-8234
Practice Address - Street 1:328 COWESETT AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:WEST WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02893
Practice Address - Country:US
Practice Address - Phone:401-823-8856
Practice Address - Fax:401-826-8234
Is Sole Proprietor?:No
Enumeration Date:2008-03-31
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist