Gena Vernon-Davis, PT
Physical Therapist in Bronx, NY. Individual provider (NPI-1).
NPI number1669012829
StatusActive
Last updated in NPPESJan 15, 2020
Details
- NPI
- 1669012829
- Entity type
- Individual (NPI-1)
- Name
- Gena Vernon-Davis
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 15, 2020
- Certification date
- Jan 15, 2020
- Last updated
- Jan 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 020222 | NM | Yes |
Other names
- Gena Vernon-Davis (Professional Name)
Practice location
1825 Eastchester RdBronx, NY 10461-2301
Phone 718-904-2785
Mailing address
1500 Blondell AveBronx, NY 10461-2643
Phone 718-405-8422
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