Organization
GENESIS REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN BROOM (PROGRAM MANAGER)
(727) 378-8586
Entity
Organization
Contact information
Practice address
7927 STATE ROAD 52, HUDSON, FL 34667-6783
(727) 378-8586
Mailing address
7927 STATE ROAD 52, HUDSON, FL 34667-6783
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10007
FL
Other
Enumeration date
12/09/2010
Last updated
12/19/2010
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