Organization
GENESIS REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE ANTOINETTE CARBO M.S. OTR/L (OCCUPATIONAL THERAPIST)
(484) 557-6601
Entity
Organization
Contact information
Practice address
146 MARPLE RD, BROOMALL, PA 19008-2040
(610) 356-0100
Mailing address
905 CHARLESTON GRN, MALVERN, PA 19355-2457
(484) 557-6601
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
OC012201
PA
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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