Individual
MRS. JUDITH ANN GENCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5700 LOMBARDO CTR, ROCK RUN NORTH, SUITE 205, SEVEN HILLS, OH 44131-2540
(216) 447-1149
Mailing address
10825 KADER DR, PARMA, OH 44130-7238
(216) 447-1149
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA00062
OH
Other
Enumeration date
09/30/2006
Last updated
07/08/2007
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