Doctor Name: | MS. LISA M GENNETT |
NPI Number: | 1336182617 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | 0263781 |
Business Practice Address: | 41 Arterial Plz Suite 15b Gloversville, NY - 120782512 |
Business Phone Number: | 5187732300 |
Business Fax Number: | 5187732334 |
Mailing Address: | Po Box 1038, GLOVERSVILLE |
State: | NY |
Postal Code: | 120780009 |
Phone Number: | 5187732300 |
Fax Number: | 5187732334 |
NPI Enumeration Date: | 06/14/2006 |
NPI Last Update Date: | 02/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 0263781 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |