| NPI | 1073188942 |
|---|---|
| Doing Business As | GENESIS SPEECH REHABILITATION SERVICES |
| Entity Type | Organization |
| Authorized Contact | CARL ANTHONY SHROM CEO 215-896-0422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2022-10-13 |