Organization
GENESIS REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KRISTEN ANN ALLEN COTA/L (COTA)
(304) 696-6939
Entity
Organization
Contact information
Practice address
101 13TH ST, HUNTINGTON, WV 25701-1653
(304) 369-2969
Mailing address
101 13TH ST, HUNTINGTON, WV 25701-1653
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
1704
WV
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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