Doctor Name: | MR. JOSEPH M GENNOCRO |
NPI Number: | 1205080678 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT14313 |
Business Practice Address: | 1299 Beneva Rd Sarasota, FL - 342323152 |
Business Phone Number: | 9419510283 |
Business Fax Number: | 9413314314 |
Mailing Address: | 4621 72nd Ct E, BRADENTON |
State: | FL |
Postal Code: | 342037998 |
Phone Number: | 9419626622 |
Fax Number: | |
NPI Enumeration Date: | 11/11/2008 |
NPI Last Update Date: | 10/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT14313 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |