Provider First Line Business Practice Location Address:
121 G.H. PHYSICAL THERAPY CLINIC
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AP
Provider Business Practice Location Address Postal Code:
96205-0054
Provider Business Practice Location Address Country Code:
KR
Provider Business Practice Location Address Telephone Number:
01182279175001
Provider Business Practice Location Address Fax Number:
01182279173068
Provider Enumeration Date:
10/14/2005