| NPI | 1871747162 |
|---|---|
| Former Name | CHRISTINE ANN GENISE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 016446-1) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: NY 016446-1) |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2021-12-09 |