Individual provider · Type 1 NPI
Edenborough Genosa Hibionada
Geriatric Physical Therapist · Myrtle Beach, SC
Practice location
3412 Picket Fence Ln
Myrtle Beach, SC 29579-3323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Geriatric Physical Therapist Primary | 2251G0304X | 2841 (SC) |
Geriatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pat…
About NPI 1912891615
Edenborough Genosa Hibionada's National Provider Identifier is 1912891615, issued on Jun 6, 2025. The primary taxonomy on file is Geriatric Physical Therapist (2251G0304X), and the practice location is in Myrtle Beach, SC. The record was last updated on Jun 6, 2025.