Provider First Line Business Practice Location Address:
15300 JOG RD SUITE 109
Provider Second Line Business Practice Location Address:
THERAPY BY THE SEA
Provider Business Practice Location Address City Name:
DELRAY BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33446
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-701-8277
Provider Business Practice Location Address Fax Number:
561-499-3775
Provider Enumeration Date:
10/23/2006