Organization
GENESIS REHAB SERVISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL WAYNE CHALMERS (OCCUPATIONAL THERAPY ASSISTANT)
(845) 820-1953
Entity
Organization
Contact information
Practice address
301 SICOMAC AVE, WYCKOFF, NJ 07481-2159
(201) 848-4323
Mailing address
200 NORTHPOINTE CIR STE 302, SEVEN FIELDS, PA 16046-7861
(724) 779-6440
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
46TA09094700
NJ
Other
Enumeration date
06/28/2014
Last updated
06/28/2014
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