Teresa Genoway, MPT

NPI #1063784643 in Trabuco Canyon, California

Provider Information

NPI Number: 1063784643
Entity Type: Individual
Name: Teresa Genoway, MPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Jan 30, 2012
Last Updated: Jan 30, 2012

Practice Location

Address: 20732 SHADOW ROCK LN
City: Trabuco Canyon
State: California
ZIP Code: 92679-3349
Phone: (949) 589-6725

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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