DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MR. SETH GENNUSO PTA

MEDICARE: MR. SETH GENNUSO PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant002497GA

General Provider Information

NPI Number : 1770873846
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SETH GENNUSO PTA
Provider Business Mailing Address
First Line : 1865 BOLD SPRINGS RD NW
Second Line :
City : MONROE
State : GA
Zip : 30656-4605
Country : US
Telephone Number : 706-267-8677
Fax Number :
Provider Business Practice Location Address
First Line : 1865 BOLD SPRINGS RD NW
Second Line :
City : MONROE
State : GA
Zip : 30656-4605
Country : US
Telephone Number : 706-267-8677
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2011
Last Update Date : 04/11/2011

Similar Medicare Providers

1780680652 — NURSING HOME PHARMACY LLC
Practice Location Address:
1865 BOLD SPRINGS RD NW
MONROE, GA
30656-4605
Practice Phone: 770-267-8677
Practice Fax: 770-267-6462
1972518611 — MONROE NURSING HOME INC
Practice Location Address:
1865 BOLD SPRINGS RD NW
MONROE, GA
30656-4605
Practice Phone: 770-267-8677
Practice Fax: 770-267-7831
1427347103 — MS. PATRICIA E SILVERNAIL PTA
Practice Location Address:
1865 BOLD SPRINGS RD NW
MONROE, GA
30656-4605
Practice Phone: 770-267-8677
Practice Fax:
1013208875 — MIRACLE WATKINS
Practice Location Address:
1865 BOLD SPRINGS RD NW
MONROE, GA
30656-4605
Practice Phone: 770-267-8677
Practice Fax:
1437440963 — MRS. CINDI JOHNSON MSPT
Practice Location Address:
1865 BOLD SPRINGS RD NW
MONROE, GA
30656-4605
Practice Phone: 770-267-1055
Practice Fax:
1639463383 — BETSY MURRILL HAMILTON PTA
Practice Location Address:
1865 BOLD SPRINGS RD NW
MONROE, GA
30656-4605
Practice Phone: 770-267-1055
Practice Fax: 770-267-1054

Directions to “ MR. SETH GENNUSO PTA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.