Provider First Line Business Practice Location Address:
800 E. CHESTNUT ST
Provider Second Line Business Practice Location Address:
SUITE 3A, PHYSIATRY ASSOCIATES, INC PS
Provider Business Practice Location Address City Name:
BELLINGHAM
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98225
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-647-8359
Provider Business Practice Location Address Fax Number:
360-738-9838
Provider Enumeration Date:
10/05/2006