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Individual

MARCUS GENEVRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
5110 S RURAL RD, STE 104, TEMPE, AZ 85282-7289
(480) 629-5549
(480) 629-5493
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12421
AZ

Other

Enumeration date
09/01/2016
Last updated
02/23/2017
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