Genesis Rehab Services LLC
NPI #1790062594 in Saint John, Indiana
Provider Information
- NPI Number
- 1790062594
- Entity Type
- Organization
- Organization Name
- Genesis Rehab Services LLC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Nov 8, 2011
- Last Updated
- May 4, 2017
Practice Location
- Address
- 9430 WICKER AVE
- Address 2
- 1534 119TH STREET
- City
- Saint John
- State
- Indiana
- ZIP Code
- 46373-9768
- Phone
- (219) 655-5285
Authorized Official
- Name
- MRS. CHARRU MALIK, M.H.S, P.T.
- Title
- SOLE MBR
- Phone
- (219) 616-5727
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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