Provider First Line Business Practice Location Address:
101 EAST STATE STREET
Provider Second Line Business Practice Location Address:
GENESIS REHAB SERVICES
Provider Business Practice Location Address City Name:
KENNETT SQUARE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19348
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-889-6865
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/09/2013