Healthcare Provider Details

I. General information

NPI: 1700832557
Provider Name (Legal Business Name): CLAUDIA SENESAC PT, PHD, PCS
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1203 NW 16TH AVE
GAINESVILLE FL
32601-4023
US

IV. Provider business mailing address

1203 NW 16TH AVE
GAINESVILLE FL
32601-4023
US

V. Phone/Fax

Practice location:
  • Phone: 352-373-7337
  • Fax: 352-377-3622
Mailing address:
  • Phone: 352-373-7337
  • Fax: 352-377-3622

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number2703
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: