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Organization
GENESIS REHABILITATION SERVICES
Active
Organization
GENESIS REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANNE TRACY COTA/L (OCCUPATIONAL THERAPY ASSISTANT)
(207) 313-1419
Entity
Organization
Contact information
Practice address
7 WILSON ST, SKOWHEGAN, ME 04976-2022
(207) 313-1419
Mailing address
7 WILSON ST, SKOWHEGAN, ME 04976-2022
(207) 313-1419
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
OA2639
ME
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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