Provider First Line Business Practice Location Address:
1551 JOHNSON FERRY RD
Provider Second Line Business Practice Location Address:
GENESIS REHAB SERVICES
Provider Business Practice Location Address City Name:
MARIETTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30062-6438
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-509-0919
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/01/2014