Provider First Line Business Practice Location Address:
200 KENNEDY MEMORIAL DRIVE
Provider Second Line Business Practice Location Address:
REHAB WORKS DEPT.
Provider Business Practice Location Address City Name:
WATERVILLE
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-861-3360
Provider Business Practice Location Address Fax Number:
207-877-0897
Provider Enumeration Date:
05/07/2009