Organization
GENESIS REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BRITTANY MARIE GOWER COTA/L (OCCUPATIONAL THERAPY ASSISTANT)
(610) 865-5595
Entity
Organization
Contact information
Practice address
1200 SPRING ST, BETHLEHEM, PA 18018-4940
(610) 865-5595
(610) 997-8413
Mailing address
1200 SPRING ST, BETHLEHEM, PA 18018-4940
(610) 865-5595
(610) 997-8413
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
OP006777
PA
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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