Individual
JULIE GENEROSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23374 W YUMA RD, BUCKEYE, AZ 85326
(623) 242-6908
Mailing address
7034 W IRMA LN, GLENDALE, AZ 85308-9459
(610) 704-1708
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-30075
AZ
225100000X
Physical Therapist
PT023134
PA
Other
Enumeration date
06/09/2014
Last updated
07/13/2018
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