Provider First Line Business Practice Location Address:
61 W. JIMMIE LEEDS RD
Provider Second Line Business Practice Location Address:
BACHARACH INSTITUTE FOR REHABILITATION
Provider Business Practice Location Address City Name:
POMONA
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08240-0723
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-748-5430
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/17/2010