Organization
GENESIS REHABILITATION AND CONDITIONING, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY SCOTT ISCH PT (PRESIDENT/OWNER)
(405) 752-1913
Entity
Organization
Contact information
Practice address
10635 N MAY AVE, OKLAHOMA CITY, OK 73120-2612
(405) 752-1913
(405) 755-5426
Mailing address
10635 N MAY AVE, OKLAHOMA CITY, OK 73120-2612
(405) 752-1913
(405) 755-5426
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2183
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144729564
INDIVIDUAL NPI
OK
Enumeration date
03/04/2012
Last updated
05/18/2026
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