Stacy Renae Genereux, P.T.
Physical Therapist in Omaha, NE. Individual provider (NPI-1).
NPI number1578713541
StatusActive
Last updated in NPPESOct 22, 2014
Details
- NPI
- 1578713541
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Stacy Renae Genereux
- Credential
- P.T.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 25, 2008
- Last updated
- Oct 22, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 1990 | NE | Yes |
Practice location
8031 W Center RdSuite 300
Omaha, NE 68124-3158
Phone 402-391-5002 · Fax 402-343-1278
Mailing address
8031 W Center RdSuite 300
Omaha, NE 68124-3158
Phone 402-391-5002 · Fax 402-343-1278
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