Organization
GENESIS REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS RACHEL LINDSEY KATTKE COTA/L (OCCUPATIONAL THERAPY ASSISTANT)
(321) 514-0702
Entity
Organization
Contact information
Practice address
1550 JESS PARRISH CT, TITUSVILLE, FL 32796-2147
(321) 269-2200
Mailing address
5609 VICTORIA GARDENS BLVD, APT 1403, PORT ORANGE, FL 32127-7979
(321) 514-0702
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OTA10565
FL
Other
Enumeration date
01/21/2012
Last updated
01/21/2012
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