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Organization
GENEVIEVE THERAPY SERVICES LLC
Active
Organization
GENEVIEVE THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TWANNA REAVES OTR (OWNER)
(731) 609-1102
Entity
Organization
Contact information
Practice address
470 N PARKWAY, SUITE C, JACKSON, TN 38305-2812
(731) 300-7400
Mailing address
PO BOX 10141, JACKSON, TN 38308-0102
(731) 609-1102
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
07519597
TN
Other
Enumeration date
05/13/2013
Last updated
11/05/2015
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