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 |