| NPI | 1902107261 |
|---|---|
| Doing Business As | GENESIS PEDIATRIC PHYSICAL THERAPY CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARK G. ROGERS CFO 563-421-6513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2010-11-03 |