# GENESIS SPORTS & REHABILITATION SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013257229
- **Authorized official:** MR. GEORGE MANOS (ADMINISTRATOR)
- **Authorized official phone:** (864) 229-2663

## Contact information

- **Practice address:** 102 GREGOR MENDEL CIR, GREENWOOD, SC 29646-2315
- **Practice address phone:** (864) 229-2663
- **Practice address fax:** (864) 229-9906
- **Mailing address:** PO BOX 11959, BELFAST, ME 04915-4010
- **Mailing address phone:** (864) 229-2663
- **Mailing address fax:** (864) 229-9906

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 02/25/2013
- **Last updated:** 02/25/2013