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Organization

GENESIS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEVEN RAYMOND STARK MPT (PHYSICAL THERAPIST)
(937) 876-5197
Entity
Organization

Contact information

Practice address
2266 BIERS RUN RD, CHILLICOTHE, OH 45601-9039
(740) 701-8308
Mailing address
2266 BIERS RUN RD, CHILLICOTHE, OH 45601-9039
(740) 701-8308

Taxonomy

Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
PT-8384
OH

Other

Enumeration date
03/31/2016
Last updated
03/31/2016
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