# GENESIS REHAB SERVICES

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

## Provider details

- **NPI number:** 1336528843
- **Authorized official:** SANDRA LEI SOLLARS COTA/L (OCCUPATIONAL THERAPY ASSISTANT)
- **Authorized official phone:** (239) 823-6910

## Contact information

- **Practice address:** 9393 PARK BLVD, SEMINOLE, FL 33777-4140
- **Practice address phone:** (727) 482-7809
- **Mailing address:** 2717 SEVILLE BLVD APT 2304, CLEARWATER, FL 33764-1165
- **Mailing address phone:** (239) 823-6910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | OTA8841 | FL | Yes |

## Other

- **Enumeration date:** 05/29/2015
- **Last updated:** 05/29/2015
