Provider First Line Business Practice Location Address:
1064 EAST MAIN STREET
Provider Second Line Business Practice Location Address:
EASTERN REHABILITATION NETWORK
Provider Business Practice Location Address City Name:
MERIDEN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06450
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-235-9622
Provider Business Practice Location Address Fax Number:
203-630-3600
Provider Enumeration Date:
04/17/2007