Organization
GENESIS REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLEY JANE BLAUCH PT (PHYSICAL THERAPIST)
(440) 286-4680
Entity
Organization
Contact information
Practice address
600 S BROAD ST, KENNETT SQUARE, PA 19348-3346
(610) 925-4551
Mailing address
600 S BROAD ST, KENNETT SQUARE, PA 19348-3346
(610) 925-4551
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PT5287
OH
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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