Provider First Line Business Practice Location Address:
100 MAIN STREET
Provider Second Line Business Practice Location Address:
MOVEMENT RESOURCE
Provider Business Practice Location Address City Name:
NORTHAMPTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01060
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-584-9942
Provider Business Practice Location Address Fax Number:
413-584-9949
Provider Enumeration Date:
11/30/2006