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Organization

GENESIS REHAB SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KRISTINE ANN MICHAELSON COTA/L (CERTIFEID OCCUPATIONAL THERAPY ASSI)
(218) 729-1656
Entity
Organization

Contact information

Practice address
2501 RICE LAKE RD, DULUTH, MN 55811-4819
(218) 625-6400
Mailing address
2501 RICE LAKE RD, DULUTH, MN 55811
(218) 625-6400

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
200447
MN

Other

Enumeration date
02/04/2013
Last updated
02/04/2013
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