Organization
GENESIS REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANNA LINDA APOSTOL PUCHERO OTR/L (OCCUPATIONAL THERAPIST)
(321) 305-8389
Entity
Organization
Contact information
Practice address
7260-2 GREENBORO DR, WEST MELBOURNE, FL 32904
(321) 727-0090
Mailing address
7260 GREENBORO DR APT 2, WEST MELBOURNE, FL 32904-1698
(321) 727-0090
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
OT13166
FL
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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