GENESIS BODYWORK LLC

ST AUGUSTINE, FL
NPI1457485344
Entity TypeOrganization
Authorized ContactTAMMY LOUISE LAGASSE
Owner
904-471-2999
Organization Subpart ?No
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
Enumeration Date2007-03-15
Last Update Date2012-02-02
Business Address
GENESIS BODYWORK LLC
4075 A1A S SUITE 105
ST AUGUSTINE, FL 32080-6773
Phone number: 904-471-2999
Mailing Address
GENESIS BODYWORK LLC
4075 A1A S SUITE 105
ST AUGUSTINE, FL 32080-6773
Phone number: 904-471-2999
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