MR. Charles Gennaro, PHYSICAL THERAPIST

NPI #1861564825 in Shirley, New York

Provider Information

NPI Number: 1861564825
Entity Type: Individual
Name: MR. Charles Gennaro, PHYSICAL THERAPIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PHYSICAL THERAPIST
Enumeration Date: Nov 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 24 TALLWOOD DR
City: Shirley
State: New York
ZIP Code: 11967-2256
Phone: (631) 395-7889

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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