Individual
STEPHANIE GENEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, CSCS
Contact information
Practice address
151 MATTHEW ST, PROSPECT, CT 06712-1415
(860) 307-9198
Mailing address
151 MATTHEW ST, PROSPECT, CT 06712-1415
(860) 307-9198
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11053
CT
Other
Enumeration date
07/29/2016
Last updated
08/07/2024
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