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Organization

GENESIS HEALTH CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CASEY L BUCHNER PTA (PHYSICAL THERAPIST ASSISTANT)
(608) 728-1884
Entity
Organization

Contact information

Practice address
7130 CRIMSON RIDGE DR, ROCKFORD, IL 61107-6222
(815) 395-1452
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
160005805
IL

Other

Enumeration date
10/10/2011
Last updated
03/13/2012
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