David Genco JR., DPT

NPI #1003334392 in Portland, Oregon

Provider Information

NPI Number: 1003334392
Entity Type: Individual
Name: David Genco JR., DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Sep 6, 2017
Last Updated: Sep 6, 2017

Practice Location

Address: 319 NE RUSSET ST
City: Portland
State: Oregon
ZIP Code: 97211-2815
Phone: (503) 289-5571

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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