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Organization
GENESIS HEALTH SYSTEM
Active
Organization
GENESIS HEALTH SYSTEM
Active
Other names
Genesis Pediatric Physical Therapy Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARK G. ROGERS (CFO)
(563) 421-6513
Entity
Organization
Contact information
Practice address
2451 CORAL CT, SUITE 1, CORALVILLE, IA 52241-2837
(563) 421-9580
Mailing address
865 LINCOLN RD, SUITE L10, BETTENDORF, IA 52722-4190
(563) 355-9200
(563) 355-3419
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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