Provider First Line Business Practice Location Address:
154 JEFFERSON HTS
Provider Second Line Business Practice Location Address:
EDEN PARK RESTORATIVE THERAPY CENTER
Provider Business Practice Location Address City Name:
CATSKILL
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12414-1215
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-943-5151
Provider Business Practice Location Address Fax Number:
518-943-9107
Provider Enumeration Date:
05/13/2007