Provider Demographics
NPI:1841815941
Name:GENUINE REHABILITATION AND WELLNESS, LLC
Entity type:Organization
Organization Name:GENUINE REHABILITATION AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:DESANTIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-391-0117
Mailing Address - Street 1:5441 OAK RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094-3139
Mailing Address - Country:US
Mailing Address - Phone:440-391-0117
Mailing Address - Fax:440-391-0117
Practice Address - Street 1:23400 MERCANTILE RD STE 2
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5948
Practice Address - Country:US
Practice Address - Phone:440-391-0117
Practice Address - Fax:440-391-0117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-15
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty