Organization
GENESIS ELDERCARE REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA ELIZABETH THEIS REGISTERED (OCCUPATIONAL THERAPIST)
(608) 249-5589
Entity
Organization
Contact information
Practice address
4502 MILWAUKEE STREET, MADISON, WI 53714
(608) 249-2137
Mailing address
330 GARNET LANE, MADISON, WI 53714
(608) 249-5589
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
344026
WI
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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