Provider First Line Business Practice Location Address:
600 YORK ST
Provider Second Line Business Practice Location Address:
PEDIATRIC THERAPY
Provider Business Practice Location Address City Name:
MANITOWOC
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
54220-6825
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
920-320-6750
Provider Business Practice Location Address Fax Number:
920-682-1981
Provider Enumeration Date:
01/02/2008