Organization
GENSIS REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STANFORD SPENCER OTR (OCCUPATIONAL THERAPIST)
(850) 207-0755
Entity
Organization
Contact information
Practice address
10100 HILLVIEW DR, PENSACOLA, FL 32514-5436
(850) 478-5153
(850) 478-5152
Mailing address
10100 HILLVIEW DR, PENSACOLA, FL 32514-5436
(850) 478-5153
(850) 478-5152
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OT11029
FL
3140N1450X
Pediatric Skilled Nursing Facility
—
—
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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