Provider Demographics
NPI:1396970729
Name:GENOVESE, SHERI RAE (OTD)
Entity type:Individual
Prefix:DR
First Name:SHERI
Middle Name:RAE
Last Name:GENOVESE
Suffix:
Gender:F
Credentials:OTD
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Mailing Address - Street 1:16166 CAYENNE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92127-3707
Mailing Address - Country:US
Mailing Address - Phone:619-838-7460
Mailing Address - Fax:858-385-1444
Practice Address - Street 1:1615 S RANCHO SANTA FE RD
Practice Address - Street 2:SUITE A
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92078-5194
Practice Address - Country:US
Practice Address - Phone:619-838-7460
Practice Address - Fax:858-385-1444
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-29
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA8656225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics