Genesis Rehab Services PC

NPI #1578012340 in Agawam, Massachusetts

Provider Information

NPI Number: 1578012340
Entity Type: Organization
Organization Name: Genesis Rehab Services PC
Primary Specialty: Physical Therapist
Enumeration Date: Sep 22, 2016
Last Updated: Sep 22, 2016

Practice Location

Address: 462 MAIN ST
City: Agawam
State: Massachusetts
ZIP Code: 01001-1833
Phone: (610) 925-4560

Authorized Official

Name: LINDSAY VERTULLO
Title: OWNER
Phone: (610) 925-4560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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