Provider First Line Business Practice Location Address:
403 EAST 1ST ST
Provider Second Line Business Practice Location Address:
KSB PHYSICAL REHAB
Provider Business Practice Location Address City Name:
DIXON
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
61021-9965
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
815-285-5591
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/04/2007