Provider First Line Business Practice Location Address:
200 BRICKSTONE SQUARE, 3RD FLOOR
Provider Second Line Business Practice Location Address:
GENESIS REHAB SERVICES
Provider Business Practice Location Address City Name:
ANDOVER
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01810
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-804-4494
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/15/2011