Provider First Line Business Practice Location Address:
1500 PALM BEACH ROAD
Provider Second Line Business Practice Location Address:
GENESIS REHAB
Provider Business Practice Location Address City Name:
STUART
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34994
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-490-9943
Provider Business Practice Location Address Fax Number:
513-490-9943
Provider Enumeration Date:
01/13/2012