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Organization

GENESIS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARVIN B KAYE LPT (PHYSICAL THERAPIST)
(336) 789-5542
Entity
Organization

Contact information

Practice address
2206 RIDGE CREST LN, MOUNT AIRY, NC 27030-2483
(336) 786-9132
Mailing address
419 SPRING ST, MOUNT AIRY, NC 27030-4635

Taxonomy

Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
4768
NC

Other

Enumeration date
03/15/2007
Last updated
08/22/2020
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