Provider First Line Business Practice Location Address:
1800 LOMBARD STREET/1ST FLOOR
Provider Second Line Business Practice Location Address:
DEPARTMENT OF PHYSICAL MEDICINE & REHABILITATION
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19146
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-893-2645
Provider Business Practice Location Address Fax Number:
732-321-7330
Provider Enumeration Date:
07/05/2007