Provider First Line Business Practice Location Address:
265 ELLINGTON ROAD
Provider Second Line Business Practice Location Address:
EASTERN REHABILITATION NETWORK
Provider Business Practice Location Address City Name:
EAST HARTFORD
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06108
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-291-2789
Provider Business Practice Location Address Fax Number:
860-290-4153
Provider Enumeration Date:
04/17/2007