Organization
GENESIS REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH JEAN LIGHTLE P.T.A. (PHYSICAL THERAPY ASSISTANT)
(727) 375-1745
Entity
Organization
Contact information
Practice address
7927 STATE ROAD 52, HUDSON, FL 34667-6783
(727) 378-8586
(727) 378-8587
Mailing address
7927 STATE ROAD 52, HUDSON, FL 34667-6783
(727) 378-8586
(727) 378-8587
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 18917
FL
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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