# GENESIS ELDERCARE REHABILITATION SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Powerback Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780310433
- **Authorized official:** LOUISE ANN SOIKA (CHIEF STRATEGY & ADMIN OFFICER)
- **Authorized official phone:** (610) 925-4088

## Contact information

- **Practice address:** 11017 SW ANNAND HILL CT, TIGARD, OR 97224-3898
- **Practice address phone:** (971) 268-0728
- **Mailing address:** 101 E STATE ST, KENNETT SQUARE, PA 19348-3109
- **Mailing address phone:** (610) 925-4560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 07/26/2022
- **Last updated:** 07/26/2022
