Organization
GENESIS REHAB SERVICES LLC
Active
Other names
Genesis Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARRU MALIK M.H.S, P.T. (SOLE MBR)
(219) 616-5727
Entity
Organization
Contact information
Practice address
9430 WICKER AVE, 1534 119TH STREET, SAINT JOHN, IN 46373-9768
(219) 655-5285
(219) 655-5472
Mailing address
9430 WICKER AVE, SAINT JOHN, IN 46373-9768
(219) 616-5727
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2011
Last updated
05/04/2017
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