Organization
GENESIS REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADEBOLA BOB ADEKANMBI PT (DIRECTOR)
(623) 939-3112
Entity
Organization
Contact information
Practice address
7802 NORTH 43RD AVENUE, SUITE 3, GLENDALE, AZ 85301
(623) 939-3112
Mailing address
P O BOX 39717, GLENDALE, AZ 85069
(623) 939-3112
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
3951
AZ
Other
Enumeration date
07/07/2006
Last updated
08/22/2020
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