Organization
GENESIS HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDRICK ANDREW FAUST PTA (PHYSICAL THERAPIST ASSISTANT)
(412) 477-3172
Entity
Organization
Contact information
Practice address
1522 BROOKLINE BLVD, PITTSBURGH, PA 15226-1914
(412) 477-3172
Mailing address
1522 BROOKLINE BLVD, PITTSBURGH, PA 15226-1914
(412) 477-3172
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
TE008531
PA
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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