Provider First Line Business Practice Location Address:
200 NORTHPOINTE CIRCLE
Provider Second Line Business Practice Location Address:
SUITE 302 SUNDANCE REHAB CORPORATION
Provider Business Practice Location Address City Name:
SEVEN FIELDS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16046
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-815-8577
Provider Business Practice Location Address Fax Number:
880-815-4755
Provider Enumeration Date:
02/29/2008