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Genesis Rehab Services

Occupational Therapy Assistant in Fernandina Beach, FL. Organization (NPI-2).

NPI number1376988717
StatusActive
Last updated in NPPESApr 29, 2013

Details

NPI
1376988717
Entity type
Organization (NPI-2)
Legal business name
Genesis Rehab Services
Organization subpart
Yes
Enumeration date
Apr 29, 2013
Last updated
Apr 29, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy AssistantOTA11456FLYes

Practice location

552 Spanish Way W
Fernandina Beach, FL 32034-9244

Phone 904-310-9411

Mailing address

552 Spanish Way W
Fernandina Beach, FL 32034-9244

Authorized official

Mary Ellen Mathe
Cota
9043109411

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