Provider First Line Business Practice Location Address:
18 EAST GRANBY ROAD
Provider Second Line Business Practice Location Address:
EASTERN REHABILITATION NETWORK
Provider Business Practice Location Address City Name:
GRANBY
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06035
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-653-2301
Provider Business Practice Location Address Fax Number:
860-653-7875
Provider Enumeration Date:
04/17/2007