Individual
ANGELA GENCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
521 S BIRDSEY ST, COLUMBUS, WI 53925-1404
(920) 623-1430
Mailing address
521 S BIRDSEY ST, COLUMBUS, WI 53925-1404
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5182-024
WI
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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