Lichelle Anne Genshow, DPT

NPI #1184973570 in New Baltimore, Michigan

Provider Information

NPI Number: 1184973570
Entity Type: Individual
Name: Lichelle Anne Genshow, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Aug 31, 2012
Last Updated: Nov 8, 2016

Practice Location

Address: 52401 ASHLEY ST
City: New Baltimore
State: Michigan
ZIP Code: 48047-3233
Phone: (586) 436-3900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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