Organization
GENESIS REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CHRISTOPHER WISVARI DPT (PHYSICAL THERAPIST)
(740) 795-5492
Entity
Organization
Contact information
Practice address
201 WOOD ST, SISTERSVILLE, WV 26175
(304) 652-1032
Mailing address
149 FIRST STREET, POWHATAN, OH 43942
(740) 795-5492
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001962
WV
Other
Enumeration date
03/27/2007
Last updated
08/22/2020
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