Provider First Line Business Practice Location Address:
8725 NW 18 TERRACE SUITE 211
Provider Second Line Business Practice Location Address:
INTEGRA REHABILITATION
Provider Business Practice Location Address City Name:
DORAL
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33172
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-537-7227
Provider Business Practice Location Address Fax Number:
305-537-7224
Provider Enumeration Date:
04/07/2015