Organization
GENESIS REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HECTOR R DE JESUS LPTA (PHYSICAL THERAPIST ASSISTANT)
(407) 201-7749
Entity
Organization
Contact information
Practice address
1120 WEST DONEGAN AVE., KEYSTONE REHAB CENTER, KISSIMMEE, FL 34741
(407) 201-7749
Mailing address
2122 JEREMIAH WAY, KISSIMMEE, FL 34743-3718
(757) 816-8293
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
PTA 24415
FL
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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