Organization
GENESIS MOVEMENT SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM BAGGAO PT, DPT (OWNER)
(915) 246-9333
Entity
Organization
Contact information
Practice address
8600 BRODIE LN APT 613, AUSTIN, TX 78745-7987
(915) 246-9333
Mailing address
8600 BRODIE LN APT 613, AUSTIN, TX 78745-7987
(915) 246-9333
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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