MRS. Jennifer Anne Tiseo, MA, PT

NPI #1013058965 in Bay Shore, New York

Provider Information

NPI Number: 1013058965
Entity Type: Individual
Name: MRS. Jennifer Anne Tiseo, MA, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MA, PT
Enumeration Date: Feb 12, 2007
Last Updated: Sep 13, 2024

Practice Location

Address: 1428 5TH AVE
City: Bay Shore
State: New York
ZIP Code: 11706-4147
Phone: (631) 665-1900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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