Provider First Line Business Practice Location Address:
170 GREENTREE RD
Provider Second Line Business Practice Location Address:
GENESIS REHAB SERVICES
Provider Business Practice Location Address City Name:
MARLTON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08053-9428
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-792-5081
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/20/2007