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Organization

HEALTH SOURCE REHABILITATION INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GENNADIY KALISH (PRESIDENT)
(267) 239-1790
Entity
Organization

Contact information

Practice address
11880 BUSTLETON AVE, 2ND FLOOR, OFFICE B, PHILADELPHIA, PA 19116-2538
(267) 239-1790
Mailing address
11880 BUSTLETON AVE, 2ND FLOOR, OFFICE B, PHILADELPHIA, PA 19116-2538

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Enumeration date
08/27/2010
Last updated
09/07/2011
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