Organization
GENESIS REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWAYNE OOTHOUDT (OCCUPATIONAL THERAPY ASSISTANT)
(603) 524-3340
Entity
Organization
Contact information
Practice address
4 PEABODY ST, TILTON, NH 03276-5407
(603) 524-3340
Mailing address
4 PEABODY ST, TILTON, NH 03276-5407
(603) 286-9493
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0519
NH
Other
Enumeration date
04/09/2007
Last updated
08/22/2020
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