Organization
GENESIS REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA L LARUE PTA (PHYSICAL THERAPIST ASST)
(954) 612-1389
Entity
Organization
Contact information
Practice address
800 NW 95TH ST, MIAMI, FL 33150-2032
(305) 853-5848
Mailing address
1321 WHITE STONE WAY, DAVIE, FL 33325-3065
(954) 612-1389
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PTA20862
FL
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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