Provider First Line Business Practice Location Address:
914 BY-PASS 123
Provider Second Line Business Practice Location Address:
CHILDRENS THERAPY CENTER
Provider Business Practice Location Address City Name:
SENECA
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29679-4757
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
864-885-1981
Provider Business Practice Location Address Fax Number:
864-885-1981
Provider Enumeration Date:
03/09/2010