Organization
GENESIS REHAB SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY VERTULLO (OWNER)
(610) 925-4560
Entity
Organization
Contact information
Practice address
462 MAIN ST, AGAWAM, MA 01001-1833
(610) 925-4560
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4560
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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