| Organization Name: | GENERATIONS PHYSICAL THERAPY |
| NPI Number: | 1710181748 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANGELA MARIE HALLUMS (CEO) |
| Mailing Address: | 2200 E Williams Field Rd Suite 200 Gilbert |
| State: | AZ US |
| Postal Code: | 852950761 |
| Phone Number: | 4803202304 |
| Fax Number: | 8882437186 |
| NPI Enumeration Date: | 06/13/2007 |
| NPI Last Update Date: | 11/12/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | TSLP5625 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |