Individual
MR. SETH GENNUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1865 BOLD SPRINGS RD NW, MONROE, GA 30656-4605
(706) 267-8677
Mailing address
1865 BOLD SPRINGS RD NW, MONROE, GA 30656-4605
(706) 267-8677
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002497
GA
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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