Doctor Name: | MICHAEL GENOVESE |
NPI Number: | 1669649604 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, PT |
License Number: | PT05515L |
Business Practice Address: | 805 S Atherton St State College, PA - 168014671 |
Business Phone Number: | 8142781912 |
Business Fax Number: | 8142781921 |
Mailing Address: | 520 Philadelphia St, INDIANA |
State: | PA |
Postal Code: | 157013902 |
Phone Number: | 7244637478 |
Fax Number: | 7244630931 |
NPI Enumeration Date: | 05/09/2008 |
NPI Last Update Date: | 05/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT05515L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |