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Individual

MR. DAVID LOUIS GENEST JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
125 ALMA BLVD, MERRITT ISLAND, FL 32953-4345
(321) 453-0202
Mailing address
125 ALMA BLVD, MERRITT ISLAND, FL 32953-4345
(321) 453-0202

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28532
FL

Other

Enumeration date
08/16/2018
Last updated
08/16/2018
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