Individual
GENNY CARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8344 CLAIREMONT MESA BLVD STE 110, SAN DIEGO, CA 92111-1327
(858) 565-6910
Mailing address
4605 WINONA AVE, SAN DIEGO, CA 92115-3341
(203) 687-9383
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
49113
CA
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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