Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Camille Aleah Jividen

Individual provider Physical Therapist · NPI 1407516990

Camille Aleah Jividen is a Physical Therapist in Kenmore, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2021
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Practice location Address checks out

3767 Delaware Ave
Kenmore, NY 14217-1040
Phone: (716) 874-6175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 350 Greenhaven Ter, Tonawanda, NY 14150-5547 — (716) 698-3931

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 048271-01 (NY)

Record details

NPI number1407516990
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 23, 2021
Last updated in NPPESApril 19, 2023
Certification dateApril 19, 2023

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