Provider First Line Business Practice Location Address:
1215 E ORANGE ST
Provider Second Line Business Practice Location Address:
PEDIATRIC THERAPY SERVICES, INC.
Provider Business Practice Location Address City Name:
LAKELAND
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33801-5762
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
863-802-3800
Provider Business Practice Location Address Fax Number:
863-802-0480
Provider Enumeration Date:
01/11/2007