| NPI | 1699448258 |
|---|---|
| Doing Business As | GENESIS PHYSICAL AND OCCUPATIONAL REHABILITATION SERVICES |
| Entity Type | Organization |
| Authorized Contact | CARL ANTHONY SHROM Chief Executive Officer 215-896-0422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2022-10-31 |