Organization
GENESIS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANDY RODRIGUEZ (PRESIDENTE)
(305) 642-2740
Entity
Organization
Contact information
Practice address
2128 W FLAGLER ST STE 202, MIAMI, FL 33135-1687
(305) 642-2740
Mailing address
2128 W FLAGLER ST STE 202, MIAMI, FL 33135-1687
(305) 642-2740
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
MA54706
FL
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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