Organization
GENESIS PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ROBERT SLAGER LPN (CLINIC OPERATIONS DIRECTOR)
(219) 310-8584
Entity
Organization
Contact information
Practice address
9150 E 109TH AVE., SUITE 1A, CROWN POINT, IN 46307
(219) 310-8584
(219) 310-8685
Mailing address
9150 E 109TH AVE., SUITE 1A, CROWN POINT, IN 46307
(219) 310-8584
(219) 310-8685
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/17/2009
Last updated
07/17/2009
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