Organization
GENESIS REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CERRI L SMITH (COTA/L)
(570) 295-5521
Entity
Organization
Contact information
Practice address
905 W 4TH ST, LOCK HAVEN, PA 17745-2717
(570) 295-5521
Mailing address
905 W 4TH ST, LOCK HAVEN, PA 17745-2717
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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