| Doctor Name: | TIMOTHY DAVID GENECCO |
| NPI Number: | 1811992514 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSPT |
| License Number: | PT12379 |
| Business Practice Address: | 56 New Driftway Scituate, MA - 020664533 |
| Business Phone Number: | 7815443434 |
| Business Fax Number: | 7815443946 |
| Mailing Address: | 6 Wianno Way, SCITUATE |
| State: | MA |
| Postal Code: | 020661520 |
| Phone Number: | 5613736308 |
| Fax Number: | 8667579692 |
| NPI Enumeration Date: | 06/17/2005 |
| NPI Last Update Date: | 02/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT12379 |
| 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 |