Provider First Line Business Practice Location Address:
311 SERVICE RD
Provider Second Line Business Practice Location Address:
SPAULDING REHAB HOSPITAL CAPE COD
Provider Business Practice Location Address City Name:
E. SANDWICH
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02537
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-833-4125
Provider Business Practice Location Address Fax Number:
508-833-4203
Provider Enumeration Date:
11/04/2010