Individual
JAYNE MARIE GENOVESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3007 N SAGINAW RD, MIDLAND, MI 48640-4555
(989) 356-8004
Mailing address
645 ANDERSON RD, TAWAS CITY, MI 48763-9373
(989) 362-5834
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501003745
MI
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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