Organization
GENESIS REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA WILSON (PHYSICAL THERAPY ASSISTANT)
(303) 204-6490
Entity
Organization
Contact information
Practice address
2920 FENTON ST, WHEAT RIDGE, CO 80214-8116
(303) 238-0481
Mailing address
2920 FENTON ST, WHEAT RIDGE, CO 80214-8116
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PTA.0012290
CO
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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