Organization
GENESIS REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA LEI SOLLARS COTA/L (OCCUPATIONAL THERAPY ASSISTANT)
(239) 823-6910
Entity
Organization
Contact information
Practice address
9393 PARK BLVD, SEMINOLE, FL 33777-4140
(727) 482-7809
Mailing address
2717 SEVILLE BLVD APT 2304, CLEARWATER, FL 33764-1165
(239) 823-6910
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
OTA8841
FL
Other
Enumeration date
05/29/2015
Last updated
05/29/2015
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