Organization
GENESIS PHYSICAL THERAPY & WELLNESS CENTER, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDAL S. RICHARDSON PT (OWNER)
(937) 323-8000
Entity
Organization
Contact information
Practice address
4230 E. NATIONAL ROAD (REAR), SPRINGFIELD, OH 45505-1714
(937) 323-8000
(937) 323-6960
Mailing address
4230 E. NATIONAL ROAD (REAR), SPRINGFIELD, OH 45505-1714
(937) 323-8000
(937) 323-6960
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT006483
OH
Other
Enumeration date
11/13/2006
Last updated
05/16/2008
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