Organization
GENESIS REHAB, INC.
Active
Organization
GENESIS REHAB, INC.
Active
Parent organization
GENESIS REHAB, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESIS REHAB, INC.
Authorized official
MR. WILLIAM J HOLMAN PT (PRESIDENT)
(334) 289-5696
Entity
Organization
Contact information
Practice address
508 GREEN ST, GREENSBORO, AL 36744-2316
(334) 289-5696
Mailing address
1351 US HIGHWAY 80 W, DEMOPOLIS, AL 36732-4125
(334) 289-5696
(334) 289-5578
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PTH3269
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529927890
—
AL
Enumeration date
09/09/2008
Last updated
09/09/2008
Update your record
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