Provider First Line Business Practice Location Address:
900 S CATON AVE
Provider Second Line Business Practice Location Address:
REHAB. SERVICES DEPT., BOX 047
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21229-5201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-368-2804
Provider Business Practice Location Address Fax Number:
410-368-3532
Provider Enumeration Date:
06/08/2006