MS. Genia Louise Devenport, M.S. P.T.

NPI #1629107859 in Dexter, New Mexico

Provider Information

NPI Number: 1629107859
Entity Type: Individual
Name: MS. Genia Louise Devenport, M.S. P.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: M.S. P.T.
Enumeration Date: Mar 5, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 245 E ORCHARD PARK RD
City: Dexter
State: New Mexico
ZIP Code: 88230-9704
Phone: (505) 622-4905

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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